Marisa Denise Medina, LCSW127143
Clinical Social Worker · Fontana, CA
Marisa Denise Medina, LCSW127143 is a clinical social worker with a practice address in Fontana, California, and NPI 1770757445, issued on Apr 14, 2008. Check the license (California LCSW127143, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Marisa Denise Medina
- Credential
- LCSW127143
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- LCSW127143 CA
Self-reported in NPPES; status is on the state search - Practice location
- 17343 Anastasia Ave, Fontana, CA 92335
- Phone
- (626) 201-6674
- Enumerated
- Apr 14, 2008
- Record last updated
- Jan 16, 2025
- Medicare enrollment
- Enrolled (PECOS I20250307002962); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 36,261 in California → Look up another NPI →
Verify Marisa Denise Medina in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license LCSW127143Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Marisa Denise Medina among 36,261 clinical social worker records in California
Marisa Denise Medina, LCSW127143 is one of 36,261 clinical social worker records with a practice address in California. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2008, is newer than 24% of them.
- NPI issued2008 · 24% of these records are older, 72% newer
- In a Medicare fileNo · 6% of these records are
- In the CMS Doctors and Clinicians fileYes · 11% of these records are
- Graduated2018 · median 2012 among the 4,008 with a school on file
- Record last updated2025 · 45% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
80 clinical social worker records list a practice address in Fontana
They are 80 of the 3,012 NPPES records with a practice address in Fontana, and 36,261 clinical social worker records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 36,261 in California → Every provider in Fontana → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Randall Alle-Corliss, LCSWFontana, CA 923351457404188
- Lupe Alle-Corliss, LCSWFontana, CA 923351558565697
- Cynthia Bousquet Harris, LCSWFontana, CA 923351710181862
- Rosemary Callopy, MFTFontana, CA 923351194929232
- Lisa Delgadillo, LCSWFontana, CA 923351891999033
- Victoria Delgadillo, LCSWFontana, CA 923351538363676
- Holly Hammack, LCSWFontana, CA 923351295939338
- Lois Heeren, L.C.S.W.Fontana, CA 923351942404389
Common questions
What is Marisa Denise Medina, LCSW127143's NPI number?
Marisa Denise Medina, LCSW127143's National Provider Identifier (NPI) is 1770757445, issued on Apr 14, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Marisa Denise Medina, LCSW127143 located?
The NPPES record lists a practice address at 17343 Anastasia Ave, Fontana, CA, 92335. Phone: (626) 201-6674. Providers update this record themselves, so call before visiting.
How can I verify Marisa Denise Medina, LCSW127143's license?
NPPES lists California license number LCSW127143, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.