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MAYRA PATRICIA MEDINA ACSW NPI 1275844060


NPI Information

NPI: 1275844060
Provider Name: MAYRA PATRICIA MEDINA, ACSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
3150 E LOS ANGELES AVE
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 577-0836
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Mayra Patricia Medina, ACSW is a social worker in Simi Valley, CA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Mayra Patricia Medina, ACSW NPI is 1275844060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3150 E LOS ANGELES AVE
SIMI VALLEY, CA
ZIP 93065-940
Phone: (805) 577-0836

The enumeration date for this NPI number is 6/25/2010 and was last updated on 11/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health88514CALIFORNIANo
2104100000XSocial Worker88514CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.