Individual provider · Type 1 NPI
Brooke Ellis Medina, LCSW
Clinical Social Worker · Houston, TX
Practice location
11001 Hammerly Blvd
Houston, TX 77043-1913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 51865 (TX) |
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 1043503527
Brooke Ellis Medina, LCSW's National Provider Identifier is 1043503527, issued on May 17, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Houston, TX. The record was last updated on Dec 18, 2013.