Active NPI
Natalie Medina, LCSW
- Clinical Social Worker
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW92357
- Practice address
- 40925 County Center Dr
Temecula, CA 92591-6054 - Phone
- (951) 600-6300
- NPI assigned
- Oct 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW92357 | CA | Primary |
Addresses
Primary practice location
40925 County Center Dr
Temecula, CA 92591-6054
Mailing address
40925 County Center Dr
Temecula, CA 92591-6054
Phone (951) 663-5112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27349 Jefferson Ave
Suite 111
Temecula, CA 92590-5610
Phone (951) 383-4460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW92357 | CA | MD | Clinical Social Worker |
| 92357 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Partners | Mental Health | Current | Accepting new patients |
| Psycare Inc | Mental Health | Current | Accepting new patients |
| Psychology Partners a Prof Corp | Clinical | Current | Accepting new patients |
Locations
4160 Temescal Canyon Rd
Ste 205
Corona, CA 92883
4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223
27349 Jefferson Ave
Ste 111
Temecula, CA 92590
Phone (949) 201-8260
31573 Rancho Pueblo Rd
Ste 200
Temecula, CA 92592
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Temecula, CA
- NPI 1811455306
-
- Mental Health Counselor
- San Diego, CA
- NPI 1811927106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1720314404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40925 COUNTY CENTER DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925916054",
"telephone_number": "951-663-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40925 COUNTY CENTER DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925916054",
"telephone_number": "951-600-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "NATALIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-30",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW92357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.