MICHELLE KAY MEDINA LCSW
NPI 1285243139
Social Worker - Clinical in Daytona Beach, FL

Q: What is Michelle Medina's NPI number?

The NPI number for Michelle Medina is 1285243139. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Q: What is Michelle 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 Michelle Medina was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 27, 2020PECOS EnrolledAccepts Medicare Assignment

412 S PALMETTO AVE, DAYTONA BEACH, FL 32114(386) 256-1333(386) 254-2847 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2025, Jul 27, 2020 (2 updates tracked since 2020).

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About Michelle Kay Medina Lcsw NPPES

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

MICHELLE KAY MEDINA LCSW (NPI 1285243139) is an individual clinical provider in Daytona Beach, Florida, licensed in Florida (SW7974) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bunnell, and is a graduate of Fordham University School Of Medicine (2001).

NPPES Registry Identity

NPI1285243139

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMICHELLE KAY MEDINACredential: LCSW

Location Address412 S PALMETTO AVEDaytona Beach, FL 32114-4922

Mailing Address412 S Palmetto AveDaytona Beach, FL 32114-4922 · (386) 256-1333 · Fax (386) 254-2847

Phone(386) 256-1333

Fax(386) 254-2847

Sole ProprietorNo

Medical School CMSFordham University School Of MedicineGraduated 2001

Enumeration DateJuly 27, 2020

Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1285243139 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 FL · SW7974

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.

412 S PALMETTO AVE, Daytona Beach, FL 32114

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Secondary Practice Location 1

Location 12323 N State St Unit 58Bunnell, FL 32110-3401 · Phone (904) 829-2273 · Fax (904) 824-0724

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Kay Medina Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719474147

PECOS Enrollment IDI20251017001398

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Epic Community Services, Inc

50 mi

Community/Behavioral Health

1400 OLD DIXIE HWY
St Augustine, FL 32084

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1831279280 (904) 829-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

SARI JO MABE MH12617

Counselor (Mental Health)