Ms. Julissa Medina
Social Worker, School in Brockton, Massachusetts
1174870380- Practice location
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone
- 915-345-0787
- Fax
- —
- Last updated
- August 7, 2012
Julissa Medina is a Social Worker, School based in Brockton, MA. Julissa Medina practices in Brockton, MA. The NPI Number for Julissa Medina is 1174870380. The current practice location address for Julissa Medina is 1115 W Chestnut St, Brockton, MA 02301-7501 and can be reached out via phone at 915-345-0787.
Provider Profile Details
- NPI Number
- 1174870380
- Provider Name
- Julissa Medina
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone Number
- 915-345-0787
- Primary Taxonomy
- Social Worker, School · 1041S0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 7, 2012
- Last Update Date
- August 7, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1115 W Chestnut St
Brockton, MA 02301-7501 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-7501
- Phone Number
- 915-345-0787
Provider Business Mailing Address Details
- Address
- 172 Roosevelt Ave. #2
Norwood, MA 02062 - City
- Norwood
- State
- MA
- Zip
- 02062
- Phone Number
- 915-345-0787
License Information
- Taxonomy
- Social Worker, School · 1041S0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, School providers near Brockton, MA
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Frequently Asked Questions
What is the NPI number of Ms. Julissa Medina?
The NPI number of Ms. Julissa Medina is 1174870380. It was assigned on August 7, 2012 and is currently active in the NPPES registry.
What is the specialty of Ms. Julissa Medina?
Ms. Julissa Medina is registered under the primary taxonomy Social Worker, School (code 1041S0200X).
Where does Ms. Julissa Medina practice?
The practice location is 1115 W Chestnut St, Brockton, MA 02301-7501. The office can be reached at 915-345-0787 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174870380 directly on the NPPES registry website.