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INGRID VERONICA MEDINA
NPI 1265958565
Social Worker - Clinical in San Francisco, CA

Active since August 17, 2017
1525 SILVER AVE # 2, SAN FRANCISCO, CA 94134(415) 657-1700 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2022, Mar 3, 2021, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Ingrid Veronica Medina NPPES

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

INGRID VERONICA MEDINA (NPI 1265958565) is an individual clinical provider in San Francisco, California, licensed in California (LCSW109606) and active in the NPI registry since August 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265958565
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameINGRID VERONICA MEDINA
Location Address1525 SILVER AVE # 2San Francisco, CA 94134-1229
Mailing Address338 Alemany Blvd Apt 3San Francisco, CA 94110-6156 · (925) 621-9702
Phone(415) 657-1700
Sole ProprietorNo
Enumeration DateAugust 17, 2017
Last NPPES UpdateSeptember 6, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1265958565 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
Licenses✔ Licensed in CA · LCSW109606✔ Licensed in CA · 109606
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 · License 84690 (CA)
1525 SILVER AVE # 2, San Francisco, CA 94134
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Secondary Practice Locations 2

Location 1916 McHenry AveModesto, CA 95350-5417 · Phone (209) 550-5850
Location 2400 Estudillo Ave Ste 100San Leandro, CA 94577-4962 · Phone (510) 352-9200

Other Identifiers 1

Medicaid90903175D26028CA

Other Providers at the Same Location NPPES

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

MR. SERGIO O. RODAS SR. MSW
Community Health Worker
1525 SILVER AVE # 2
SAN FRANCISCO, CA 94134
San Francisco County (415) 657-1770

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 Ingrid Medina's NPI number?

The NPI number for Ingrid Medina is 1265958565. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Ingrid Medina located?

Ingrid Medina practices at 1525 Silver Ave # 2, San Francisco, CA 94134. The listed phone number is (415) 657-1700.

What is Ingrid 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 Ingrid Medina was last updated on September 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.