Individual provider · Type 1 NPI

Taylor Anne Medici

Clinical Social Worker · Bayside, NY

NPI number 1699694828 Active

Practice location

1523 201st St
Bayside, NY 11360-1014

Other practice locations

  • 8390 Six Forks Rd Ste 201, Raleigh, NC 27615-3060 · (919) 890-5852

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP024350 (NC)
Social Worker 104100000XNone listed

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 1699694828

Taylor Anne Medici's National Provider Identifier is 1699694828, issued on Jul 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bayside, NY. The record was last updated on Sep 30, 2026.