Karina Victorino, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103704 Issued in CA

Practice address

4350 Otay Mesa Rd
San Ysidro, CA 92173-1617

Phone

(619) 428-4476

Fax

(619) 428-6473

NPI assigned

Jun 3, 2013

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Ysidro School District

  • Local Education Agency (LEA)
  • San Ysidro, CA
  • NPI 1912113192
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1447697230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MONTCLIFF RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393925",
            "telephone_number": "619-955-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 OTAY MESA RD",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731617",
            "telephone_number": "619-428-4476",
            "fax_number": "619-428-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORINO",
        "first_name": "KARINA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Maurice Truitt
• Zahid Valencia
• Lorena Vasquez, HE
• Hanna Vazquez
• Sandra Vega, DDS
• Vida Hospice Services Southern Inc
• Denise Villezcas, MS
• Laura Viramontes
• Charles Elmer Walker, LMFT
• Nicholas Ryan Whitley, MD

• Clinical Social Worker in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.