KAITLIN KIMBERLEE MEDINA
NPI 1508345927
Social Worker - Clinical in Los Angeles, CA

Active since August 07, 2018
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 751-3026 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2021, Aug 7, 2018 (2 updates tracked since 2018).

About Kaitlin Kimberlee Medina NPPES

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

KAITLIN KIMBERLEE MEDINA (NPI 1508345927) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW100711) and active in the NPI registry since August 2018. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1508345927
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAITLIN KIMBERLEE MEDINA
Location Address3850 CRENSHAW BLVDLos Angeles, CA 90008-1821
Mailing Address3850 Crenshaw BlvdLos Angeles, CA 90008-1821 · (323) 751-3026
Sole ProprietorYes
Enumeration DateAugust 7, 2018
Last NPPES UpdateApril 23, 20212 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
NPI 1508345927 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 · LCSW100711
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 84680 (CA)
3850 CRENSHAW BLVD, Los Angeles, CA 90008

Secondary Practice Location 1

Location 15201 S Vermont AveLos Angeles, CA 90037-3527 · Phone (323) 751-3026

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.

Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Counselor (Mental Health)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Nurse Practitioner
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Marriage & Family Therapist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Peer Specialist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Community Health Worker
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008

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 Kaitlin Medina's NPI number?

The NPI number for Kaitlin Medina is 1508345927. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Kaitlin Medina located?

Kaitlin Medina practices at 3850 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 751-3026.

What is Kaitlin 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 Kaitlin Medina was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.