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ELIAS MEDINA
NPI 1336574391
Social Worker - Clinical in Cherry Valley, MA

Active since September 10, 2013PECOS Enrolled
43 HOWARD TER, CHERRY VALLEY, MA 01611(508) 315-2593 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elias Medina NPPES

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

ELIAS MEDINA (NPI 1336574391) is an individual clinical provider in Cherry Valley, Massachusetts, licensed in Massachusetts (LICSW1121070) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336574391
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameELIAS MEDINA
Location Address43 HOWARD TERCherry Valley, MA 01611-3267
Mailing Address43 Howard TerCherry Valley, MA 01611-3267 · (508) 315-2593
Phone(508) 315-2593
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 10, 2013
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1336574391 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 MA · LICSW1121070
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.
43 HOWARD TER, Cherry Valley, MA 01611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5597255984
PECOS Enrollment IDI20251105000149
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 01611 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 $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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

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

STREETLIGHT COUNSELING
Social Worker (Clinical)
43 HOWARD TER
CHERRY VALLEY, MA 01611
Worcester County (508) 315-2493

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 Elias Medina's NPI number?

The NPI number for Elias Medina is 1336574391. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Where is Elias Medina located?

Elias Medina practices at 43 Howard Ter, Cherry Valley, MA 01611. The listed phone number is (508) 315-2593.

What is Elias Medina's specialty?

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

Is Elias Medina enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elias Medina was last updated on September 24, 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.