Mayra Patricia Medina, ACSW is a
Social Worker based in Simi Valley, California. Mayra Patricia Medina is licensed to practice in California (license number 88514) and her current practice location is
3150 E Los Angeles Ave, Simi Valley, California. She can be reached at her office (for appointments etc.) via phone at
(805) 577-0836.
NPI number for Mayra Patricia Medina is 1275844060 and her current mailing address is 3150 E Los Angeles Ave, Simi Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275844060.
Healthcare Provider's Profile
Full Name | Mayra Patricia Medina |
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Gender | Female |
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Speciality | Social Worker |
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Location | 3150 E Los Angeles Ave, Simi Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275844060
- Provider Enumeration Date: 06/25/2010
- Last Update Date: 11/07/2023
Medical Identifiers
Medical identifiers for Mayra Patricia Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275844060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 88514 (California) | Secondary |
104100000X | Social Worker | 88514 (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. Mayra Patricia 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 |
Mayra Patricia Medina, ACSW 3150 E Los Angeles Ave, Simi Valley, CA 93065-3940 Ph: (805) 577-0836 | Mayra Patricia Medina, ACSW 3150 E Los Angeles Ave, Simi Valley, CA 93065-3940 Ph: (805) 577-0836 |
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