ML Social Work Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801084122 Issued in CA

Legal business name

ML SOCIAL WORK GROUP

Practice address

3290 Caminito Eastbluff
Ste 125
Lajolla, CA 92037-2878

Phone

(858) 255-1595

NPI assigned

Aug 28, 2012

Last updated

Aug 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daryl Robinson II

Title

Executive Director

Phone

(248) 962-3510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1407104102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 CAMINITO EASTBLUFF",
            "address_2": "STE 125",
            "city": "LAJOLLA",
            "state": "CA",
            "postal_code": "920372878",
            "telephone_number": "858-255-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 CAMINITO EASTBLUFF",
            "address_2": "STE 125",
            "city": "LAJOLLA",
            "state": "CA",
            "postal_code": "920372878",
            "telephone_number": "858-255-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ML SOCIAL WORK GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-962-3510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "6801084122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen A Miyashiro, DMD
• Hirotaka Miyashita, MD
• Mari Ayako Miyoshi
• Lianne T Mizoguchi, OD
• Joseph Mizzell III, MD
• Ghassan A Moasis, MD
• Fouad Joseph Moawad, M.D.
• Modena Allergy & Asthma Inc. (Modena Allergy & Asthma)
• Brian David Modena, M.D., MSC
• Rishi Modi

• Clinical Social Worker in La Jolla, CA
• Providers in La Jolla, 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 Aug 31, 2012; 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.