Individual provider · Type 1 NPI

Elizabeth Medina, LCSW

Clinical Social Worker · Fort Huachuca, AZ

NPI number 1245816503 Active

Practice location

2240 Winrow Rd
Fort Huachuca, AZ 85613-5080

Call (520) 533-9097 Map

Fax (520) 533-5246

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-19297 (AZ)

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 1245816503

Elizabeth Medina, LCSW's National Provider Identifier is 1245816503, issued on Mar 18, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Huachuca, AZ. The record was last updated on Jan 26, 2026.