Individual provider · Type 1 NPI

Juan C. Medina, LCSW

Clinical Social Worker · Oak Park, IL

NPI number 1871160192 Active

Practice location

1129 Schneider Ave
Oak Park, IL 60302-2291

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.023058 (IL)

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 1871160192

Juan C. Medina, LCSW's National Provider Identifier is 1871160192, issued on Jun 6, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oak Park, IL. The record was last updated on Jun 6, 2021.