Individual provider · Type 1 NPI
Juan Ramon Medina Garcia
Clinical Social Worker · Lodi, CA
Practice location
1111 W Tokay St Ste Ac
Lodi, CA 95240-3965
Mailing address
3123 Independence Dr
Livermore, CA 94551-7595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 126055 (CA) |
| Behavior Technician | 106S00000X | None listed |
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 1538745849
Juan Ramon Medina Garcia's National Provider Identifier is 1538745849, issued on Mar 18, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lodi, CA. The record was last updated on Jan 23, 2026.