Individual provider · Type 1 NPI
Mary Elizabeth Medina, LCSW
Clinical Social Worker · Bronx, NY
Practice location
1136 Castle Hill Ave
Bronx, NY 10462-4801
Mailing address
306 E 96th St Apt 1A
New York, NY 10128-3847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R032084 (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 1073162145
Mary Elizabeth Medina, LCSW's National Provider Identifier is 1073162145, issued on Sep 10, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Sep 10, 2019.