ANDREW D MEDINA LCSW
NPI 1710476213
Social Worker - Clinical in Phoenix, AZ

Q: What is Andrew Medina's NPI number?

The NPI number for Andrew Medina is 1710476213. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Q: What is Andrew Medina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Medina was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 09, 2018

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0990(602) 933-4251 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2018, May 9, 2018 (2 updates tracked since 2018).

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About Andrew D Medina Lcsw NPPES

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

ANDREW D MEDINA LCSW (NPI 1710476213) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (LCSW-17122) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1710476213

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameANDREW D MEDINACredential: LCSW

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813 · Fax (602) 992-6209

Phone(602) 933-0990

Fax(602) 933-4251

Sole ProprietorNo

Enumeration DateMay 9, 2018

Last NPPES UpdateDecember 3, 20182 updates tracked since enumeration

✔ NPI 1710476213 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 AZ · LCSW-17122

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.

1919 E THOMAS RD, Phoenix, AZ 85016

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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.

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