Individual provider · Type 1 NPI

Shannon Monique Medina

Social Worker · Penasco, NM

NPI number 1366092645 Active

Practice location

13 Old School Rd
Penasco, NM 87553

Mailing address

PO Box 520
Penasco, NM 87553-0520

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200X376369 (NM)
Social Worker Primary 104100000XX-11248 (NM)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1366092645

Shannon Monique Medina's National Provider Identifier is 1366092645, issued on Sep 18, 2019. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Penasco, NM. The record was last updated on Sep 18, 2019.