Individual provider · Type 1 NPI

Miko Rae Allen, PT, LCSW

Clinical Social Worker · Sonora, CA

NPI number 1386245694 Active

Practice location

175 Fairview Ln
Sonora, CA 95370-4809

Call (805) 591-9990 Map

Mailing address

22572 Little John Dr
Twain Harte, CA 95383-9758

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician 167G00000X37930 (CA)
Clinical Social Worker Primary 1041C0700X117683 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1386245694

Miko Rae Allen, PT, LCSW's National Provider Identifier is 1386245694, issued on Nov 3, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sonora, CA. The record was last updated on Mar 21, 2024.