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TEDDY REY MEDINA LMSW, LCSW
NPI 1477307676
Social Worker - Clinical in Fort Sam Houston, TX

Active since April 15, 2024
3551 ROGER BROOKE DR DEPT OF, FORT SAM HOUSTON, TX 78234(210) 539-1047 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Teddy Rey Medina Lmsw, Lcsw NPPES

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

TEDDY REY MEDINA LMSW, LCSW (NPI 1477307676) is an individual clinical provider in Fort Sam Houston, Texas, licensed in Utah (14268953-3501) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1477307676
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTEDDY REY MEDINACredential: LMSW, LCSW
Location Address3551 ROGER BROOKE DR DEPT OFFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke Dr Dept OfFort Sam Houston, TX 78234-4504 · (210) 539-1047
Phone(210) 539-1047
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1477307676 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 UT · 14268953-3501
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.
3551 ROGER BROOKE DR DEPT OF, Fort Sam Houston, TX 78234
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Other Providers at the Same Location NPPES 10

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

MRS. KATERINA MARIE OUDIE MS, RD, LD, CSOWM
Dietitian, Registered
3551 ROGER BROOKE DR DEPT OF
SAN ANTONIO, TX 78234
Bexar County (210) 539-9582
DR. ROBERT BRADY MD
Pathology (Anatomic Pathology & Clinical Pathology)
3551 ROGER BROOKE DR DEPT OF
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-2956
MARIAH D ARAVE MD
General Practice
3551 ROGER BROOKE DR DEPT OF
JBSA FT SAM HOUSTON, TX 78234
Bexar County (210) 916-1284
DR. KATHERINE MARIE BEDIGREW M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
3551 ROGER BROOKE DR DEPT OF
SAN ANTONIO, TX 78234
Bexar County (785) 806-1351
DR. SUSAN MARIE COLLA D.O.
Family Medicine
3551 ROGER BROOKE DR DEPT OF
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-4141
SAMUEL WILLIAMS ARNP
Nurse Practitioner (Acute Care)
3551 ROGER BROOKE DR DEPT OF
FORT SAM HOUSTON, TX 78234
Bexar County (941) 456-2370
DR. DARREL K. CARLTON MD
Ophthalmology
3551 ROGER BROOKE DR DEPT OF
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
DR. STEPHEN JAMES SAVIOLI M.D.
Radiology (Diagnostic Radiology)
3551 ROGER BROOKE DR DEPT OF
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-6690

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 Teddy Medina's NPI number?

The NPI number for Teddy Medina is 1477307676. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Teddy Medina located?

Teddy Medina practices at 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234. The listed phone number is (210) 539-1047.

What is Teddy Medina'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 Teddy Medina was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.