Individual provider · Type 1 NPI

Elisabet Medina

Clinical Social Worker · Los Angeles, CA

NPI number 1811526262 Active

Practice location

3787 S Vermont Ave
Los Angeles, CA 90007-4203

Mailing address

3031 S Vermont Ave
Los Angeles, CA 90007-3033

Other practice locations

  • 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 · (323) 791-8943
  • 4760 Sepulveda Blvd, Culver City, CA 90230-4820 · (310) 390-6612

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner 225400000XF1130881 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XASW140303 (CA)
Rehabilitation Practitioner 225400000XNone 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 1811526262

Elisabet Medina's National Provider Identifier is 1811526262, issued on Apr 7, 2020. 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 Aug 4, 2026.