Lac Counseling, Licensed Clinical Social Worker Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LAC COUNSELING, LICENSED CLINICAL SOCIAL WORKER INC

Practice address

2605 Madison Ave
San Diego, CA 92116-3048

Phone

(858) 789-0623

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Miranda Lorraine Dinkins, LCSWNPI 1578100582

Title

President

Phone

(858) 789-0623

Specialties & licenses 1

Addresses

Other names 1

• LAC Counseling Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miranda Lorraine Dinkins

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1578100582
  NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1679260244",
    "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",
            "telephone_number": "858-789-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 MADISON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163048",
            "telephone_number": "858-789-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAC COUNSELING, LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A",
        "authorized_official_last_name": "DINKINS",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-789-0623",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAC Counseling Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fredy Labra, SFIDC
• Jennifer Labrada Valencia
• David Labrana, DC
• Jamie Nicole Labuzetta, M.D.
• Labvitas LLC
• Lac T Vu
• Tri Huynh Lac, MD
• Kristen Lacar
• Guadalupe Lacarra Arias
• Bernardette Lacarra Ramirez

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.