Kaitlin Kimberlee Medina, is a
Social Worker - Clinical based in Los Angeles, California. Kaitlin Kimberlee Medina is licensed to practice in California (license number LCSW100711) and her current practice location is
3850 Crenshaw Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 751-3026.
NPI number for Kaitlin Kimberlee Medina is 1508345927 and her current mailing address is 3850 Crenshaw Blvd, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508345927.
Healthcare Provider's Profile
Full Name | Kaitlin Kimberlee Medina |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 3850 Crenshaw Blvd, Los Angeles, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508345927
- Provider Enumeration Date: 08/07/2018
- Last Update Date: 04/23/2021
Medical Identifiers
Medical identifiers for Kaitlin Kimberlee Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508345927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 84680 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW100711 (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. Kaitlin Kimberlee 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 |
Kaitlin Kimberlee Medina, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: (323) 751-3026 | Kaitlin Kimberlee Medina, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: (323) 751-3026 |
Reviews and Comments