MS. DYANE BURGOS MEDINA LCSW
NPI 1396569596
Social Worker - Clinical in Elk Grove, CA

Active since November 13, 2024
10053 E TARON DR, ELK GROVE, CA 95757(209) 403-6722 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Dyane Burgos Medina Lcsw NPPES

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

MS. DYANE BURGOS MEDINA LCSW (NPI 1396569596) is an individual clinical provider in Elk Grove, California, licensed in California (112033) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1396569596
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DYANE BURGOS MEDINACredential: LCSW
Location Address10053 E TARON DRElk Grove, CA 95757-8161
Mailing Address10053 E Taron DrElk Grove, CA 95757-8161 · (209) 403-6722
Sole ProprietorYes
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
NPI 1396569596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 112033
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.
10053 E TARON DR, Elk Grove, CA 95757

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 Dyane Medina's NPI number?

The NPI number for Dyane Medina is 1396569596. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Dyane Medina located?

Dyane Medina practices at 10053 E Taron Dr, Elk Grove, CA 95757. The listed phone number is (209) 403-6722.

What is Dyane 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 Dyane Medina was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.