KATHLEEN ANN POTOCNIK MEDINA LCSW
NPI 1629845672
Social Worker - Clinical in New York, NY

Active since December 11, 2023
16 MADISON SQ W FL 12, NEW YORK, NY 10010(917) 562-2921 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Ann Potocnik Medina Lcsw NPPES

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

KATHLEEN ANN POTOCNIK MEDINA LCSW (NPI 1629845672) is an individual clinical provider in New York, New York, licensed in New York (096567) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1629845672
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN ANN POTOCNIK MEDINACredential: LCSW
Location Address16 MADISON SQ W FL 12New York, NY 10010-1629
Mailing Address16 Madison Sq W Fl 12New York, NY 10010-1629 · (917) 310-0512
Sole ProprietorYes
Enumeration DateDecember 11, 2023
NPPES CertifiedDecember 10, 2023
NPI 1629845672 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 NY · 096567
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.
16 MADISON SQ W FL 12, New York, NY 10010

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
16 MADISON SQ W FL 12
NEW YORK, NY 10010
Counselor (Mental Health)
16 MADISON SQ W FL 12
NEW YORK, NY 10010
Anesthesiology
16 MADISON SQ W FL 12
NEW YORK, NY 10010
Counselor (Mental Health)
16 MADISON SQ W FL 12
NEW YORK, NY 10010
Counselor (Mental Health)
16 MADISON SQ W FL 12
NEW YORK, NY 10010
Counselor (Mental Health)
16 MADISON SQ W FL 12
NEW YORK, NY 10010
Psychologist (Clinical)
16 MADISON SQ W FL 12
NEW YORK, NY 10010
Dietitian, Registered
16 MADISON SQ W FL 12
NEW YORK, NY 10010

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 Kathleen Potocnik Medina's NPI number?

The NPI number for Kathleen Potocnik Medina is 1629845672. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Where is Kathleen Potocnik Medina located?

Kathleen Potocnik Medina practices at 16 Madison Sq W Fl 12, New York, NY 10010. The listed phone number is (917) 562-2921.

What is Kathleen Potocnik 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 Kathleen Potocnik Medina was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.