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MS. JULISSA MEDINA
NPI 1174870380
Social Worker - School in Brockton, MA

Active since August 07, 2012
1115 W CHESTNUT ST, BROCKTON, MA 02301(915) 345-0787 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Julissa Medina NPPES

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

MS. JULISSA MEDINA (NPI 1174870380) is an individual school provider in Brockton, Massachusetts and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1174870380
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameMS. JULISSA MEDINA
Location Address1115 W CHESTNUT STBrockton, MA 02301-7501
Mailing Address172 Roosevelt Ave. #2Norwood, MA 02062 · (915) 345-0787
Phone(915) 345-0787
Sole ProprietorNo
Enumeration DateAugust 7, 2012
✔ NPI 1174870380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
1115 W CHESTNUT ST, Brockton, MA 02301
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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.

KATHERINE SHAO
Physical Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
KATELIN ANN SWAN
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
JENNA M MONACO
Social Worker (Clinical)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. JILLIAN MARIE HAYDEN BA PSYCHOLOGY
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. CAITLIN C EDELMAN M.A.
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
AMANDA EICK
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
REBECCA CLEGG
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
COURTNEY MAULEN
Occupational Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 559-0473

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 Julissa Medina's NPI number?

The NPI number for Julissa Medina is 1174870380. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Julissa Medina located?

Julissa Medina practices at 1115 W Chestnut St, Brockton, MA 02301. The listed phone number is (915) 345-0787.

What is Julissa Medina's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Julissa Medina was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.