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

Active since August 17, 2017PECOS Enrolled
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: October 18, 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 is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

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
Medical School CMSOtherGraduated 2018
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ingrid Veronica Medina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092273839
PECOS Enrollment IDI20260821000959
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ingrid Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Professional Clinical Counselor, PC
49 mi
Mental Health
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group
NPI 1598629362 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Is Ingrid Medina enrolled in Medicare?

Yes. Ingrid Medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ingrid Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ingrid Medina reassigns Medicare benefits to Sondermind Professional Clinical Counselor, PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ingrid Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ingrid Medina was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.