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MEDINA DAUTOVIC
NPI 1972001899
Social Worker - Clinical in San Mateo, CA

Active since January 25, 2018
2600 S EL CAMINO REAL, SAN MATEO, CA 94403(650) 578-8691 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2023, Jan 24, 2023, Jan 18, 2023 and 1 more (4 updates tracked since 2020).

About Medina Dautovic NPPES

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

MEDINA DAUTOVIC (NPI 1972001899) is an individual clinical provider in San Mateo, California, licensed in California (113769) and active in the NPI registry since January 2018. She maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1972001899
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMEDINA DAUTOVIC
Location Address2600 S EL CAMINO REALSan Mateo, CA 94403-2380
Mailing Address2600 S El Camino RealSan Mateo, CA 94403-2380
Phone(650) 578-8691
Sole ProprietorNo
Enumeration DateJanuary 25, 2018
Last NPPES UpdateFebruary 24, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1972001899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 113769
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
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License ASW89224 (CA)
2600 S EL CAMINO REAL, San Mateo, CA 94403
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Secondary Practice Location 1

Location 1160 E Virginia St Ste 100San Jose, CA 95112-5865 · Phone (408) 579-6178 · Fax (408) 579-6143

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.

GABRIEL SEAN FREDERICK
Case Manager/Care Coordinator
2600 S EL CAMINO REAL
SAN MATEO, CA 94403
San Mateo County (650) 393-8931
VICTORIA NAOMI ARCHILA
Counselor (Mental Health)
2600 S EL CAMINO REAL, STE 200
SAN MATEO, CA 94403
San Mateo County (650) 578-8691
LESLIE L WOLFF R.N
Registered Nurse
2600 S EL CAMINO REAL, STE 200
SAN MATEO, CA 94403
San Mateo County (650) 373-0777
DR. MARCIA MONICA ZORRILLA DRPH, MPH, SUDRC
Counselor (Addiction (Substance Use Disorder))
2600 S EL CAMINO REAL
SAN MATEO, CA 94403
San Mateo County (650) 226-7030
YESENIA JASMINE GUERRERO
Counselor (Mental Health)
2600 S EL CAMINO REAL
SAN MATEO, CA 94403
San Mateo County (650) 578-8691
JESSICA BARBATO MFT
Marriage & Family Therapist
2600 S EL CAMINO REAL, SUITE 200
SAN MATEO, CA 94403
San Mateo County (650) 393-8910
MR. THOMAS L OLSEN LMFT
Marriage & Family Therapist
2600 S EL CAMINO REAL, SUITE 200
SAN MATEO, CA 94403
San Mateo County (650) 373-0777
KAI ALDEN
Counselor (Mental Health)
2600 S EL CAMINO REAL, SUITE 200
SAN MATEO, CA 94403
San Mateo County (650) 393-8911

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 Medina Dautovic's NPI number?

The NPI number for Medina Dautovic is 1972001899. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Where is Medina Dautovic located?

Medina Dautovic practices at 2600 S El Camino Real, San Mateo, CA 94403. The listed phone number is (650) 578-8691.

What is Medina Dautovic'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 Medina Dautovic was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.