Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mayra Patricia Medina, LCSW

Individual provider Clinical Social Worker · NPI 1275844060

Mayra Patricia Medina, LCSW is a Clinical Social Worker in Simi Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3150 E Los Angeles Ave
Simi Valley, CA 93065-3940
Phone: (805) 577-0836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 128103 (CA)

Record details

NPI number1275844060
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 25, 2010
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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