1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Social Worker
  6. NPI Profile

KIMBERLY SAMANTHA MEDINA
NPI 1063994788
Social Worker - Clinical in Los Angeles, CA

Active since August 29, 2018
1200 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90017(213) 481-7464(213) 481-7147 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2023, Dec 11, 2018, Aug 29, 2018 (3 updates tracked since 2018).

About Kimberly Samantha Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SAMANTHA MEDINA (NPI 1063994788) is an individual clinical provider in Los Angeles, California, licensed in California (ASW90543) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1063994788
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY SAMANTHA MEDINA
Location Address1200 WILSHIRE BLVD STE 300Los Angeles, CA 90017-1931
Mailing Address1200 Wilshire Blvd Ste 300Los Angeles, CA 90017-1931 · (213) 481-7464 · Fax (213) 481-7147
Phone(213) 481-7464
Fax(213) 481-7147
Sole ProprietorNo
Enumeration DateAugust 29, 2018
Last NPPES UpdateOctober 24, 20233 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1063994788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · ASW90543
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1200 WILSHIRE BLVD STE 300, Los Angeles, CA 90017
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLADYS MENDEZ-SAUZA
Marriage & Family Therapist
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
EUIBIN JEE
Marriage & Family Therapist
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 670-3381
DELFINO ESPINOZA
Marriage & Family Therapist
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 819-2234
CYNTHIA GODINA ASW
Social Worker (Clinical)
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 407-4332
SONIA CHAGOLLA MS
Rehabilitation Practitioner
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
GABRIELA LICEA
Case Manager/Care Coordinator
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
AMY PEDROZA
Social Worker (Clinical)
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
VERONICA LOPEZ RAMIREZ
Nurse Practitioner (Psychiatric/Mental Health)
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Medina's NPI number?

The NPI number for Kimberly Medina is 1063994788. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Kimberly Medina located?

Kimberly Medina practices at 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017. The listed phone number is (213) 481-7464.

What is Kimberly Medina's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kimberly Medina was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.