Individual provider · Type 1 NPI
Vivian M. Medina, LCSW
Clinical Social Worker · New York, NY
Practice location
1 Gustave Levy Place
New York, NY 10029-6574
Fax (212) 241-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R056281 (NY) |
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 1063659449
Vivian M. Medina, LCSW's National Provider Identifier is 1063659449, issued on Jan 7, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jan 7, 2009.