Individual provider · Type 1 NPI

Brandon Lawrence Medley, LMSW

Clinical Social Worker · Bernalillo, NM

NPI number 1285237461 Active

Practice location

301 S Camino Del Pueblo
Bernalillo, NM 87004-6276

Mailing address

2504 Camino Entrada
Santa Fe, NM 87507-4851

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XM-11397 (NM)
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700XSWB-2024-0580 (NM)

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 1285237461

Brandon Lawrence Medley, LMSW's National Provider Identifier is 1285237461, issued on Nov 19, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bernalillo, NM. The record was last updated on Jan 9, 2025.