Individual provider Active NPI

Miki Darby, LCSW

  • Clinical Social Worker
  • Lake Oswego, OR
National Provider Identifier
1548533094
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5219 Issued in OR
Practice address
9 Monroe Pkwy Ste 240
Lake Oswego, OR 97035-8865
Phone
(503) 926-9457
NPI assigned
Feb 14, 2012
Last updated
Mar 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M5219 OR
Clinical Social Worker 1041C0700X L5219 OR Primary

Addresses

Primary practice location

9 Monroe Pkwy Ste 240
Lake Oswego, OR 97035-8865

Mailing address

9 Monroe Pkwy Ste 240
Lake Oswego, OR 97035-8865
Phone (503) 926-9457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M5219ORMDSocial Worker
L5219ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cocoro Counseling LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

9 Monroe Pkwy
Ste 240
Lake Oswego, OR 97035
Phone (503) 536-4288

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1548533094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 240",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358865",
            "telephone_number": "503-926-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 240",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358865",
            "telephone_number": "503-926-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBY",
        "first_name": "MIKI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "M5219",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; 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.