BROOKE ELLIS MEDINA LCSW - NPI 1043503527 - Social Worker in Houston, TX

Q: What is Brooke Medina's NPI number?

The NPI number for Brooke Medina is 1043503527. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Q: What is Brooke Medina's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Medina was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Brooke Ellis Medina Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE ELLIS MEDINA LCSW (NPI 1043503527) is an individual clinical provider in Houston, Texas, licensed in Texas (51865) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1043503527

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameBROOKE ELLIS MEDINACredential: LCSW

Location Address11001 HAMMERLY BLVDHouston, TX 77043-1913

Mailing Address11001 Hammerly BlvdHouston, TX 77043-1913 · (713) 935-9088

Phone(713) 935-9088

Sole ProprietorYes

Enumeration DateMay 17, 2011

Last NPPES UpdateDecember 18, 2013

✔ NPI 1043503527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 51865

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

11001 HAMMERLY BLVD, Houston, TX 77043

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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