Marisa Medina, LCSW127143
NPI 1770757445 · Clinical Social Worker · Fontana, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marisa Medina, LCSW127143 is a Clinical Social Worker provider in Fontana, CA (NPI 1770757445).
Provider details
- NPI number
- 1770757445
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW127143
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Frequently asked questions
- What is Marisa Medina's NPI number?
- Marisa Medina's National Provider Identifier (NPI) is 1770757445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Medina's specialty?
- Marisa Medina is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Marisa Medina located?
- Marisa Medina's practice location on file with NPPES is 17343 Anastasia Ave, Fontana, CA 92335-4933.
- What is Marisa Medina's phone number?
- The practice phone number listed in the NPPES registry for Marisa Medina is (626) 201-6674.
- Does Marisa Medina accept Medicare?
- Marisa Medina is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marisa Medina's NPI active?
- Yes — Marisa Medina's NPI (1770757445) is active in the NPPES registry as of the last update on 2025-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.