Individual provider · Type 1 NPI

Javier Medina, LCSW

Clinical Social Worker · Beaumont, TX

NPI number 1740868330 Active

Practice location

3455 Stagg Dr
Beaumont, TX 77701-4521

Call (832) 548-5000 Map

Fax (409) 833-2829

Mailing address

PO Box 66308
Houston, TX 77266-6308

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X58659 (TX)

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 1740868330

Javier Medina, LCSW's National Provider Identifier is 1740868330, issued on Apr 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beaumont, TX. The record was last updated on Apr 11, 2023.