Lara N Miko, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW43846 Issued in ID

Practice address

417 S 6TH St
Boise, ID 83702-7632

Phone

(208) 577-4465

Fax

(208) 577-4469

NPI assigned

Aug 26, 2014

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1477953503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S 6TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027632",
            "telephone_number": "208-577-4465",
            "fax_number": "208-577-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKO",
        "first_name": "LARA",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW 33502",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LCSW43846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindra Miiller, NP-C
• Jessica Sara Mikelonis, LPC
• Annie Mikesell, MA, LCPC
• Mikelle E Mikesell, DO
• Daniel Miko-Mikyene
• Milan Institutue
• Claire Milan, LMSW
• Liesl Allyn Milan, BA, MED, EDD, LMSW
• Aniyah Milanez
• Cannon Milani, MD

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.