Active NPI
Heidi M Miyagawa, LCSW
- Clinical Social Worker
- Oceanside, CA
National Provider Identifier
1639951999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 81735
- Practice address
- 844 Arthur Ave
Oceanside, CA 92057-3608 - Phone
- (562) 857-9799
- NPI assigned
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 81735 | CA | Primary |
Addresses
Primary practice location
844 Arthur Ave
Oceanside, CA 92057-3608
Mailing address
PO Box 50012
Long Beach, CA 90815-6012
Phone (562) 857-9799
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
| License | State | Type | Specialty |
|---|---|---|---|
| 81735 | CA | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1639951999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50012",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908156012",
"telephone_number": "562-857-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 ARTHUR AVE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920573608",
"telephone_number": "562-857-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIYAGAWA",
"first_name": "HEIDI",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "81735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.