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JUAN MIGUEL MEDINA LCSW
NPI 1780064154
Social Worker - Clinical in Wichita Falls, TX

Active since June 01, 2015
4706 LAKE PARK DR, WICHITA FALLS, TX 76302(661) 747-2697 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Juan Miguel Medina Lcsw NPPES

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

JUAN MIGUEL MEDINA LCSW (NPI 1780064154) is an individual clinical provider in Wichita Falls, Texas, licensed in Texas (63416) and active in the NPI registry since June 2015. He maintains a secondary practice location in Tehachapi.

NPPES Registry Identity

NPI1780064154
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUAN MIGUEL MEDINACredential: LCSW
Location Address4706 LAKE PARK DRWichita Falls, TX 76302-3310
Mailing Address4706 Lake Park DrWichita Falls, TX 76302-3310 · (661) 747-2697
Phone(661) 747-2697
Sole ProprietorYes
Enumeration DateJune 1, 2015
Last NPPES UpdateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1780064154 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 TX · 63416
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.
4706 LAKE PARK DR, Wichita Falls, TX 76302
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Secondary Practice Location 1

Location 1113 East F StreetTehachapi, CA 93561 · Phone (661) 822-8223

Other Identifiers 1

Other63416TX · Texas Behavioral Health Executive Council

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 Juan Medina's NPI number?

The NPI number for Juan Medina is 1780064154. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is Juan Medina located?

Juan Medina practices at 4706 Lake Park Dr, Wichita Falls, TX 76302. The listed phone number is (661) 747-2697.

What is Juan 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 Juan Medina was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.