Individual provider · Type 1 NPI

Evelyn Luquis-Medina, LCSW

Clinical Social Worker · Brooklyn, NY

NPI number 1386709889 Active

Practice location

514 49th St
Brooklyn, NY 11220-2010

Fax (718) 437-5239

Mailing address

5800 3rd Ave, Managed Care Department
Brooklyn, NY 11220-3702

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X076160-1 (NY)

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 1386709889

Evelyn Luquis-Medina, LCSW's National Provider Identifier is 1386709889, issued on Dec 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 23, 2011.