Individual provider · Type 1 NPI

Medina Dautovic

Clinical Social Worker · San Mateo, CA

NPI number 1972001899 Active

Practice location

2600 S El Camino Real
San Mateo, CA 94403-2380

Call (650) 578-8691 Map

Other practice locations

  • 160 E Virginia St Ste 100, San Jose, CA 95112-5865 · (408) 579-6178

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XASW89224 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X113769 (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 1972001899

Medina Dautovic's National Provider Identifier is 1972001899, issued on Jan 25, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Mateo, CA. The record was last updated on Feb 24, 2023.