Individual provider Active NPI

Natalie Medina, LCSW

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1720314404
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW92357 Issued in CA
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

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020000697 CA Practitioner - Clinical Social Worker 8628466901 Reassigns benefits to 1 organization

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
Psych PartnersGroup PAC ID 0840639746, 24 clinicians

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

LicenseStateTypeSpecialty
LCSW92357CAMDClinical Social Worker
92357CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Partners Mental Health CurrentSince Jan 23, 2024 Accepting new patients
Psycare Inc Mental Health CurrentSince Dec 6, 2021 Accepting new patients
Psychology Partners a Prof Corp Clinical CurrentSince Sep 14, 2025 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.

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

Verify at the official NPI Registry.