Individual provider · Type 1 NPI

Teddy Rey Medina, LMSW, LCSW

Clinical Social Worker · Fort Sam Houston, TX

NPI number 1477307676 Active

Practice location

3551 Roger Brooke Dr Dept Of
Fort Sam Houston, TX 78234-4504

Call (210) 539-1047 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14268953-3501 (UT)

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 1477307676

Teddy Rey Medina, LMSW, LCSW's National Provider Identifier is 1477307676, issued on Apr 15, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jun 18, 2026.