Individual provider · Type 1 NPI

Mark Anthony Medina

Clinical Social Worker · Vancouver, WA

NPI number 1861833725 Active

Practice location

1498 SE Tech Center Pl
Vancouver, WA 98683-9591

Call (360) 567-2211 Map

Mailing address

4105 E 16th St
Vancouver, WA 98661-6205

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60699712 (WA)

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 1861833725

Mark Anthony Medina's National Provider Identifier is 1861833725, issued on Jul 8, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vancouver, WA. The record was last updated on Feb 3, 2025.