Individual provider · Type 1 NPI

Brenda Medina, LCSW

Clinical Social Worker · Los Lunas, NM

NPI number 1023490034 Active

Practice location

428 Los Lentes Rd SE Ste 3
Los Lunas, NM 87031-6018

Mailing address

301 S Camino Del Pueblo
Bernalillo, NM 87004-6276

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700XC-10485 (NM)

Clinical Social Worker: 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 interpers…

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About NPI 1023490034

Brenda Medina, LCSW's National Provider Identifier is 1023490034, issued on Jun 25, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Lunas, NM. The record was last updated on Oct 2, 2018.