Individual provider · Type 1 NPI

Kaitlin Kimberlee Medina

Clinical Social Worker · Los Angeles, CA

NPI number 1508345927 Active

Practice location

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821

Call (323) 751-3026 Map

Other practice locations

  • 5201 S Vermont Ave, Los Angeles, CA 90037-3527 · (323) 751-3026

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X84680 (CA)
Clinical Social Worker Primary 1041C0700XLCSW100711 (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 1508345927

Kaitlin Kimberlee Medina's National Provider Identifier is 1508345927, issued on Aug 7, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 23, 2021.