Individual provider · Type 1 NPI
Juan Miguel Medina, LCSW
Clinical Social Worker · Wichita Falls, TX
Practice location
4706 Lake Park Dr
Wichita Falls, TX 76302-3310
Other practice locations
- 113 East F Street, Tehachapi, CA 93561 · (661) 822-8223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 63416 (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 1780064154
Juan Miguel Medina, LCSW's National Provider Identifier is 1780064154, issued on Jun 1, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita Falls, TX. The record was last updated on Feb 9, 2023.