ANDREA CRYSTAL MEDINA
NPI 1720557853
Social Worker - Clinical in Arcadia, CA

Q: What is Andrea Medina's NPI number?

The NPI number for Andrea Medina is 1720557853. It was assigned to this individual provider in the NPPES registry on November 19, 2018.

Q: What is Andrea Medina's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Medina was last updated on June 4, 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.

Active since November 19, 2018PECOS Enrolled

41 E FOOTHILL BLVD STE 102, ARCADIA, CA 91006(626) 701-4249 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 4, 2021, Aug 22, 2019, Nov 19, 2018 (3 updates tracked since 2018).

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About Andrea Crystal Medina NPPES

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

ANDREA CRYSTAL MEDINA (NPI 1720557853) is an individual clinical provider in Arcadia, California, licensed in California (99958) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Valencia.

NPPES Registry Identity

NPI1720557853

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANDREA CRYSTAL MEDINA

Location Address41 E FOOTHILL BLVD STE 102Arcadia, CA 91006-2361

Mailing Address41 E Foothill Blvd Ste 102Arcadia, CA 91006-2361

Phone(626) 701-4249

Sole ProprietorNo

Enumeration DateNovember 19, 2018

Last NPPES UpdateJune 4, 20213 updates tracked since enumeration

NPPES CertifiedJune 4, 2021

✔ NPI 1720557853 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 · 99958✔ Licensed in CA · 84732

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 ListedBehavior TechnicianTaxonomy 106S00000X

41 E FOOTHILL BLVD STE 102, Arcadia, CA 91006

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Secondary Practice Location 1

Location 125115 Avenue Stanford Ste 100Valencia, CA 91355-4791 · Phone (818) 241-6780

Other Identifiers 1

Other84732CA · Bbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91006 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 $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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.

MISS MISHA ELDER LCSW

Social Worker (Clinical)