Individual provider · Type 1 NPI

Benjamin Jose Medina-Suarez, LCSW

Clinical Social Worker · St. Petersburg, FL

NPI number 1871192013 Active

Practice location

501 6th Ave S
St. Petersburg, FL 33701-4409

Call (727) 767-4619 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1871192013

Benjamin Jose Medina-Suarez, LCSW's National Provider Identifier is 1871192013, issued on Oct 19, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 13, 2024.