Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE MEDINA
NPI 1477466332
Social Worker - Clinical in South Pasadena, CA

Active since September 23, 2026
205 PASADENA AVE, SOUTH PASADENA, CA 91030(323) 344-5536 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Nicole Medina NPPES

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

NICOLE MEDINA (NPI 1477466332) is an individual clinical provider in South Pasadena, California, licensed in California (140949) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1477466332
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE MEDINA
Location Address205 PASADENA AVESouth Pasadena, CA 91030-2919
Mailing Address205 Pasadena AveSouth Pasadena, CA 91030-2919 · (323) 344-5536
Sole ProprietorYes
Enumeration DateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1477466332 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 · 140949
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.
205 PASADENA AVE, South Pasadena, CA 91030

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.

Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Social Worker
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Student in an Organized Health Care Education/Training Program
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030

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 Nicole Medina's NPI number?

The NPI number for Nicole Medina is 1477466332. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Nicole Medina located?

Nicole Medina practices at 205 Pasadena Ave, South Pasadena, CA 91030. The listed phone number is (323) 344-5536.

What is Nicole 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 Nicole Medina was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.