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

Active since July 27, 2020PECOS Enrolled
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: August 09, 2026.

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

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 Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Kay Medina Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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)
412 S PALMETTO AVE
DAYTONA BEACH, FL 32114
Volusia County (904) 716-5679
NATALIA LEXIS CIMO MHC
Counselor (Mental Health)
412 S PALMETTO AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 287-1977
KARISHMA WORKMON
Counselor (Mental Health)
412 S PALMETTO AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 256-1333
STASIA GOLEMBIEWSKA MANAK LCSW
Social Worker (Clinical)
412 S PALMETTO AVE
DAYTONA BEACH, FL 32114
Volusia County (407) 494-3530
LAKEN K HIBBITTS LCSW
Counselor (Mental Health)
412 S PALMETTO AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 256-1333

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 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.

Where is Michelle Medina located?

Michelle Medina practices at 412 S Palmetto Ave, Daytona Beach, FL 32114. The listed phone number is (386) 256-1333.

What is Michelle Medina's specialty?

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

Is Michelle Medina enrolled in Medicare?

Yes. Michelle Medina is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Medina accept?

Health plans from Oscar Health Maintenance Organization of Florida list Michelle 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 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 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.