Individual provider · Type 1 NPI

Manuel L. Medina, PhD

Clinical Social Worker · Eloy, AZ

NPI number 1740345404 Active

Practice location

4020 N Zapotec Ave
Eloy, AZ 85231-1160

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW # 11051 (AZ)

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 1740345404

Manuel L. Medina, PhD's National Provider Identifier is 1740345404, issued on Dec 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eloy, AZ. The record was last updated on Jul 8, 2007.