Ingrid Veronica Medina, is a
Social Worker - Clinical based in San Francisco, California. Ingrid Veronica Medina is licensed to practice in California (license number LCSW109606) and her current practice location is
1525 Silver Ave # 2, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 657-1700.
NPI number for Ingrid Veronica Medina is 1265958565 and her current mailing address is 338 Alemany Blvd Apt 3, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265958565.
Healthcare Provider's Profile
| Full Name | Ingrid Veronica Medina |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1525 Silver Ave # 2, San Francisco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265958565
- Provider Enumeration Date: 08/17/2017
- Last Update Date: 09/06/2022
Medical Identifiers
Medical identifiers for Ingrid Veronica Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265958565 | NPI | - | NPPES |
| 90903175D26028 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 84690 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 109606 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW109606 (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. Ingrid Veronica 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 |
|---|
Ingrid Veronica Medina,
338 Alemany Blvd Apt 3,
San Francisco, CA 94110-6156
Ph: (925) 621-9702 | Ingrid Veronica Medina,
1525 Silver Ave # 2,
San Francisco, CA 94134-1229
Ph: (415) 657-1700 |
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