1. Home
  2. Directory
  3. New Mexico
  4. Penasco
  5. Social Worker
  6. NPI Profile

SHANNON MONIQUE MEDINA
NPI 1366092645
Social Worker in Penasco, NM

Active since September 18, 2019
13 OLD SCHOOL RD, PENASCO, NM 87553(575) 587-2502 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Monique Medina NPPES

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

SHANNON MONIQUE MEDINA (NPI 1366092645) is an individual social worker in Penasco, New Mexico, licensed in New Mexico (X-11248) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1366092645
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANNON MONIQUE MEDINA
Location Address13 OLD SCHOOL RDPenasco, NM 87553
Mailing AddressPo Box 520Penasco, NM 87553-0520 · (575) 587-2502
Phone(575) 587-2502
Sole ProprietorNo
Enumeration DateSeptember 18, 2019
✔ NPI 1366092645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NM · X-11248
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 376369 (NM)
13 OLD SCHOOL RD, Penasco, NM 87553
Open in Google Maps ↗

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 Shannon Medina's NPI number?

The NPI number for Shannon Medina is 1366092645. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Shannon Medina located?

Shannon Medina practices at 13 Old School Rd, Penasco, NM 87553. The listed phone number is (575) 587-2502.

What is Shannon Medina's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Shannon Medina was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.