Individual provider · Type 1 NPI

Sandy Miyamoto, MSW

Clinical Social Worker · Pasadena, CA

NPI number 1912563024 Active

Practice location

867 N Fair Oaks Ave
Pasadena, CA 91103-3050

Mailing address

760 Mountain View St
Altadena, CA 91001-4996

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW117892 (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 1912563024

Sandy Miyamoto, MSW's National Provider Identifier is 1912563024, issued on May 14, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pasadena, CA. The record was last updated on May 21, 2024.