Medina Dautovic, is a
Social Worker - Clinical based in San Mateo, California. Medina Dautovic is licensed to practice in California (license number 113769) and her current practice location is
2600 S El Camino Real, San Mateo, California. She can be reached at her office (for appointments etc.) via phone at
(650) 578-8691.
NPI number for Medina Dautovic is 1972001899 and her current mailing address is 2600 S El Camino Real, San Mateo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972001899.
Healthcare Provider's Profile
| Full Name | Medina Dautovic |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2600 S El Camino Real, San Mateo, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972001899
- Provider Enumeration Date: 01/25/2018
- Last Update Date: 02/24/2023
Medical Identifiers
Medical identifiers for Medina Dautovic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972001899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | ASW89224 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 113769 (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. Medina Dautovic 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 |
|---|
Medina Dautovic,
2600 S El Camino Real,
San Mateo, CA 94403-2380
Ph: () - | Medina Dautovic,
2600 S El Camino Real,
San Mateo, CA 94403-2380
Ph: (650) 578-8691 |
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