Deren Leland Mikels, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20881 Issued in CA

Practice address

5015 Canyon Crest Dr
Suite 102
Riverside, CA 92507

Phone

(951) 529-3692

Fax

(951) 346-3780

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003985979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 CANYON CREST DR",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-529-3692",
            "fax_number": "951-346-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 CANYON CREST DR",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-529-3692",
            "fax_number": "951-346-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELS",
        "first_name": "DEREN",
        "middle_name": "LELAND",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasjeet Miglani-Nayar, M.D.
• Ravinder Singh Miglani, CLASS A LICENSE
• Lorena Mihalkovitz, MA, LMFT
• Mihenrichgroup LLC
• John Mikail, LCSW
• Mina N Mikhail, MD
• Silvia Mikhail
• Mikwan Corporation
• Shadi Milani-Nejad, D.O.
• Christy Jane Milani, MD

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.