Individual provider · Type 1 NPI

Shannon Martina Rapalo Medina, LICSW

Clinical Social Worker · Milwaukee, WI

NPI number 1104531458 Active

Practice location

5404 N Lovers Lane Rd Ste 10
Milwaukee, WI 53225-3006

Other practice locations

  • 6417 Penn Ave S Ste 7-1055, Minneapolis, MN 55423-1186 · (218) 332-4771
  • 5155 E River Rd Ste 401, Fridley, MN 55421-3777 · (763) 913-9184

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26538 (MN)

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 1104531458

Shannon Martina Rapalo Medina, LICSW's National Provider Identifier is 1104531458, issued on Jan 20, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 4, 2026.