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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISA DENISE MEDINA, LCSW127143

Active Sole Proprietor

MARISA DENISE MEDINA, LCSW127143 is a Clinical Social Worker healthcare provider located in FONTANA, California. NPI 1770757445 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FONTANA, CA

Registration Details

NPI Number
1770757445
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2008 (18.327974651023 yrs)
Last Updated
Jan 16, 2025
License
LCSW127143 (CA)
Sole Proprietor
Yes

Practice Information

Address
17343 ANASTASIA AVE
FONTANA, CA, 923354933
Browse CA providers · Browse ZIP 92335
Phone
6262016674
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in FONTANA, CA

Name Credential NPI
MR. RANDALL M ALLE-CORLISS LCSW 1457404188
DR. ROGER DELGADO PH.D 1407997497
MS. MONICA VICTORIA PULIDO MSW 1033249842
PAUL TERRAZAS 1326172966
MS. RACHEL MICHELLE ESTRADA LCSW 1073630687
PAULINA LAGUNA LCSW 1689888216
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.