Individual provider · Type 1 NPI

Vanessa Medina, M. S. W.

Clinical Social Worker · Dayville, CT

NPI number 1902824949 Active

Practice location

1007 North Main Street
Dayville, CT 06241-0839

Mailing address

208 Grande Rd
East Hartford, CT 06118-2448

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 1902824949

Vanessa Medina, M. S. W.'s National Provider Identifier is 1902824949, issued on Jul 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dayville, CT. The record was last updated on Jul 8, 2007.