Miranda Lorraine Dinkins

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112648 Issued in CA

Practice address

5855 Streamview Dr
San Diego, CA 92105-3910

Phone

(619) 287-5460

NPI assigned

Dec 9, 2019

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Lac Counseling, Licensed Clinical Social Worker Inc

  dba LAC Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1679260244
  NPD Authorized official
• The Twelfth Step House of San Diego, Inc.

  dba Heartland House

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1881723344
  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1578100582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 MADISON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 STREAMVIEW DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921053910",
            "telephone_number": "619-287-5460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 National Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921132209",
            "country_code": "US",
            "telephone_number": "619-515-2338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINKINS",
        "first_name": "MIRANDA",
        "middle_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW86261",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Dinh
• Wendy Hoang Dinh, PHARM. D.
• Sharon Dinicholas
• Amy Dinki
• Leilani Kalei Dinkins
• Nicole Dinning, RN
• Cara Dinote, L.AC.
• Salvatore Dinovo, PH.D.
• Allen Ira Dinoyo
• Mariana Dintyala, DNP, FNP-BC

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Mar 21, 2023; 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.