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MARY ELIZABETH MEDINA LCSW
NPI 1073162145
Social Worker - Clinical in Bronx, NY

Active since September 10, 2019
1136 CASTLE HILL AVE, BRONX, NY 10462(718) 239-0395 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Elizabeth Medina Lcsw NPPES

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

MARY ELIZABETH MEDINA LCSW (NPI 1073162145) is an individual clinical provider in Bronx, New York, licensed in New York (R032084) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1073162145
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY ELIZABETH MEDINACredential: LCSW
Location Address1136 CASTLE HILL AVEBronx, NY 10462-4801
Mailing Address306 E 96th St Apt 1aNew York, NY 10128-3847 · (646) 331-9025
Phone(718) 239-0395
Sole ProprietorYes
Enumeration DateSeptember 10, 2019
✔ NPI 1073162145 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 NY · R032084
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.
1136 CASTLE HILL AVE, Bronx, NY 10462
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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 Mary Medina's NPI number?

The NPI number for Mary Medina is 1073162145. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Mary Medina located?

Mary Medina practices at 1136 Castle Hill Ave, Bronx, NY 10462. The listed phone number is (718) 239-0395.

What is Mary Medina's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Medina was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.