Regina Rae Medina, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16130 Issued in CA

Practice address

1425 Olive St
Santa Barbara, CA 93101-1216

Phone

(805) 216-5102

NPI assigned

May 2, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1992440135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 OLIVE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011216",
            "telephone_number": "805-216-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 OLIVE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011216",
            "telephone_number": "805-216-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "REGINA",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "16130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ipad",
            "affiliation": "N",
            "endpointDescription": "Ipad",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1425 Olive St",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931011216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medbridge Anesthesia Services, Inc.
• Medcenter Inc a Medical Corporation
• Anna Esther Medina, RN
• David A Medina, MD
• Leticia Medina, D.D.S
• Vickie Medina, BSW, MSW
• John Fortune Medveckis, MA.,LAC
• Arnold Medved, M.D.
• Julie Marie Meers, OTR/L
• Sophie Ilea-Harris Meginnis, DACM, L.AC.

• Clinical Social Worker in Santa Barbara, CA
• Providers in Santa Barbara, 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 May 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.