KATELYN BROOKE MEDINA LCSW
NPI 1063011153
Social Worker - Clinical in Charlotte, NC

Active since October 20, 2020
5200 PARK RD STE 218B, CHARLOTTE, NC 28209(866) 700-1606 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2023, Nov 10, 2020, Oct 20, 2020 (3 updates tracked since 2020).

About Katelyn Brooke Medina Lcsw NPPES

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

KATELYN BROOKE MEDINA LCSW (NPI 1063011153) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C015751) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1063011153
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN BROOKE MEDINACredential: LCSW
Location Address5200 PARK RD STE 218BCharlotte, NC 28209-3650
Mailing AddressPo Box 8879Asheville, NC 28814-8879 · (866) 700-1606
Sole ProprietorYes
Enumeration DateOctober 20, 2020
Last NPPES UpdateMay 17, 20233 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
NPI 1063011153 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 NC · C015751
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.

5200 PARK RD STE 218B, Charlotte, NC 28209

Other Names 1

Former Name (1)Katelyn Brooke Locklear

Accepted Insurance

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.

Counselor (Professional)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Counselor (Professional)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Counselor (Mental Health)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Marriage & Family Therapist
5200 PARK RD STE 218B
CHARLOTTE, NC 28209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Medina's NPI number?

The NPI number for Katelyn Medina is 1063011153. It was assigned to this individual provider in the NPPES registry on October 20, 2020. The provider is also known as Katelyn Brooke Locklear.

Where is Katelyn Medina located?

Katelyn Medina practices at 5200 Park Rd Ste 218B, Charlotte, NC 28209. The listed phone number is (866) 700-1606.

What is Katelyn Medina's specialty?

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

What insurance does Katelyn Medina accept?

Health plans from Blue Cross and Blue Shield of NC list Katelyn Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelyn Medina was last updated on May 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.