Carol Nakano Miyake, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10830 Issued in CA

Practice address

180 S Lake Ave Ste 320
Pasadena, CA 91101-2668

Phone

(626) 678-8974

NPI assigned

May 23, 2007

Last updated

May 5, 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 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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1619187093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122A E FOOTHILL BLVD # 429",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062505",
            "telephone_number": "626-678-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S LAKE AVE STE 320",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012668",
            "telephone_number": "626-678-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAKE",
        "first_name": "CAROL",
        "middle_name": "NAKANO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "10830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Anne Mitchell
• Aurelio Mitjans Jr.
• Michael Squiers Mitri, M.D.
• Jonathan Mitry, MD, MSC
• Seth Mittleman, D.C.
• Sandy Miyamoto, MSW
• Sharon Miyamura
• Dean Yoshito Mizuno, D.D.S.
• MJB Family and Marriage Therapist Inc (Margaret Jeanne Bezucha)
• MJK Home Health Care Inc

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, 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 May 5, 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.