MRS. DIANITZA MEDINA LCSW
NPI 1902064074
Social Worker - Clinical in San Diego, CA

Q: What is Dianitza Medina's NPI number?

The NPI number for Dianitza Medina is 1902064074. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Q: What is Dianitza 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 Dianitza Medina was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment

3111 CAMINO DEL RIO N STE 400, SAN DIEGO, CA 92108(619) 528-2233 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 4, 2026, Nov 15, 2023, Dec 2, 2021 and 1 more (4 updates tracked since 2016).

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About Mrs. Dianitza Medina Lcsw NPPES

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

MRS. DIANITZA MEDINA LCSW (NPI 1902064074) is an individual clinical provider in San Diego, California, licensed in (71617) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1902064074

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. DIANITZA MEDINACredential: LCSW

Location Address3111 CAMINO DEL RIO N STE 400San Diego, CA 92108-5724

Mailing Address3111 Camino Del Rio N Ste 400San Diego, CA 92108-5724 · (619) 528-2233

Phone(619) 528-2233

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateMay 27, 2008

Last NPPES UpdateMarch 4, 20264 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1902064074 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 · 71617

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.

3111 CAMINO DEL RIO N STE 400, San Diego, CA 92108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Dianitza Medina Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426336280

PECOS Enrollment IDI20161028001321

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 92108 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 $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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