NELLY MEDINA
NPI 1811234073
Social Worker - Clinical in San Diego, CA

Active since January 08, 2013
3851 ROSECRANS ST, SAN DIEGO, CA 92110(619) 542-4166(619) 542-4168 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nelly Medina NPPES

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

NELLY MEDINA (NPI 1811234073) is an individual clinical provider in San Diego, California and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1811234073
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNELLY MEDINA
Location Address3851 ROSECRANS STSan Diego, CA 92110-3115
Mailing Address3851 Rosecrans StSan Diego, CA 92110-3115 · (619) 542-4166 · Fax (619) 542-4168
Fax(619) 542-4168
Sole ProprietorYes
Enumeration DateJanuary 8, 2013
NPI 1811234073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

3851 ROSECRANS ST, San Diego, CA 92110

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.

Pharmacist (Psychiatric)
3851 ROSECRANS ST, MS P-507-J
SAN DIEGO, CA 92110
Pharmacist
3851 ROSECRANS ST
SAN DIEGO, CA 92110
Pharmacist
3851 ROSECRANS ST
SAN DIEGO, CA 92110
Preventive Medicine (Public Health & General Preventive Medicine)
3851 ROSECRANS ST, TUBERCULOSIS CONTROL
SAN DIEGO, CA 92110
Specialist
3851 ROSECRANS ST
SAN DIEGO, CA 92110
Licensed Vocational Nurse
3851 ROSECRANS ST
SAN DIEGO, CA 92110
Day Training/Habilitation Specialist
3851 ROSECRANS ST
SAN DIEGO, CA 92110
Day Training/Habilitation Specialist
3851 ROSECRANS ST
SAN DIEGO, CA 92110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811234073, enumerated as an "individual" on January 08, 2013.

The provider is located at 3851 ROSECRANS ST SAN DIEGO, CA 92110 and the phone number is (619) 542-4166.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.