DR. MANUEL L. MEDINA PH.D.
NPI 1740345404
Social Worker - Clinical in Eloy, AZ

Active since December 23, 2006
4020 N ZAPOTEC AVE, ELOY, AZ 85231(520) 464-8341 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Manuel L. Medina Ph.d. NPPES

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

DR. MANUEL L. MEDINA PH.D. (NPI 1740345404) is an individual clinical provider in Eloy, Arizona, licensed in Arizona (LCSW # 11051) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1740345404
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. MANUEL L. MEDINACredential: PH.D.
Location Address4020 N ZAPOTEC AVEEloy, AZ 85231-1160
Mailing Address4020 N Zapotec AveEloy, AZ 85231-1160 · (520) 464-8341
Sole ProprietorYes
Enumeration DateDecember 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1740345404 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 # 11051
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.
4020 N ZAPOTEC AVE, Eloy, AZ 85231

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 Manuel Medina's NPI number?

The NPI number for Manuel Medina is 1740345404. It was assigned to this individual provider in the NPPES registry on December 23, 2006.

Where is Manuel Medina located?

Manuel Medina practices at 4020 N Zapotec Ave, Eloy, AZ 85231. The listed phone number is (520) 464-8341.

What is Manuel 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 Manuel Medina was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.