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EDGARDO MEDINA-COLON LCSW
NPI 1255998696
Social Worker - Clinical in Travis Afb, CA

Active since May 21, 2019
60 MDG/SGOF, 101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-3057 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, May 21, 2019 (2 updates tracked since 2019).

About Edgardo Medina-colon Lcsw NPPES

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

EDGARDO MEDINA-COLON LCSW (NPI 1255998696) is an individual clinical provider in Travis Afb, California, licensed in California (114327) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1255998696
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameEDGARDO MEDINA-COLONCredential: LCSW
Location Address60 MDG/SGOF, 101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address60 Mdg/sgof, 101 Bodin CirTravis Afb, CA 94535-1809
Phone(707) 423-3057
Sole ProprietorNo
Enumeration DateMay 21, 2019
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1255998696 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 CA · 114327
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.
60 MDG/SGOF, Travis Afb, CA 94535
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Other Providers at the Same Location NPPES

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

RYAN BARNEY LCSW
Social Worker (Clinical)
60 MDG/SGOF, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-5302

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 Edgardo Medina-colon's NPI number?

The NPI number for Edgardo Medina-colon is 1255998696. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Edgardo Medina-colon located?

Edgardo Medina-colon practices at 60 Mdg/Sgof 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-3057.

What is Edgardo Medina-colon'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 Edgardo Medina-colon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.