Individual provider · Type 1 NPI

Ingrid Veronica Medina

Clinical Social Worker · San Francisco, CA

NPI number 1265958565 Active

Practice location

1525 Silver Ave # 2
San Francisco, CA 94134-1229

Mailing address

338 Alemany Blvd Apt 3
San Francisco, CA 94110-6156

Other practice locations

  • 916 Mchenry Ave, Modesto, CA 95350-5417 · (209) 550-5850
  • 400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962 · (510) 352-9200

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X84690 (CA)
Clinical Social Worker 1041C0700X109606 (CA)
Clinical Social Worker Primary 1041C0700XLCSW109606 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1265958565

Ingrid Veronica Medina's National Provider Identifier is 1265958565, issued on Aug 17, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Francisco, CA. The record was last updated on Sep 6, 2022.