Individual provider · Type 1 NPI

Cherina Jean Medina, LCSW

Clinical Social Worker · Canon City, CO

NPI number 1114429701 Active

Practice location

PO Box 3
Canon City, CO 81215-0003

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200XASW75307 (CA)
Clinical Social Worker 1041C0700XCSW.09932330 (CO)
Clinical Social Worker Primary 1041C0700XLCSW116770 (CA)

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 1114429701

Cherina Jean Medina, LCSW's National Provider Identifier is 1114429701, issued on Feb 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canon City, CO. The record was last updated on Mar 10, 2026.