Devon Lacey Medina, MSW is a
Social Worker - Clinical based in Pasadena, California. Devon Lacey Medina is licensed to practice in California (license number 102559) and her current practice location is
867 N Fair Oaks Ave, Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(818) 644-9187.
NPI number for Devon Lacey Medina is 1598332553 and her current mailing address is 760 Mountain View St, Altadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598332553.
Healthcare Provider's Profile
Full Name | Devon Lacey Medina |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 867 N Fair Oaks Ave, Pasadena, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598332553
- Provider Enumeration Date: 06/08/2021
- Last Update Date: 06/13/2023
Medical Identifiers
Medical identifiers for Devon Lacey Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598332553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 102559 (California) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 102559 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Devon Lacey Medina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Devon Lacey Medina, MSW 760 Mountain View St, Altadena, CA 91001-4925 Ph: () - | Devon Lacey Medina, MSW 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 Ph: (818) 644-9187 |
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