Individual provider · Type 1 NPI

Jonathan Jay Medina

Clinical Social Worker · Anaheim, CA

NPI number 1285198788 Active

Practice location

711 E Ball Rd
Anaheim, CA 92805-5930

Call (714) 254-8473 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X122283 (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 1285198788

Jonathan Jay Medina's National Provider Identifier is 1285198788, issued on Jan 29, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Anaheim, CA. The record was last updated on Nov 20, 2024.