Active NPIIndividual provider

Elias Medina

Social Worker, Clinical in Cherry Valley, Massachusetts

NPI Number1336574391
Practice location
43 Howard Ter, Cherry Valley, MA 01611-3267
Fax
—
Last updated
September 24, 2025

Elias Medina is a Social Worker, Clinical based in Cherry Valley, MA. Elias Medina practices in Cherry Valley, MA. The NPI Number for Elias Medina is 1336574391 and holds a License No. LICSW1121070 (MA). The current practice location address for Elias Medina is 43 Howard Ter, Cherry Valley, MA 01611-3267 and can be reached out via phone at 508-315-2593.

Provider Profile Details

NPI Number
1336574391
Provider Name
Elias Medina
Provider Entity Type
Individual
Gender
Male
Address
43 Howard Ter, Cherry Valley, MA 01611-3267
Phone Number
508-315-2593
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 10, 2013
Last Update Date
September 24, 2025
Certification Date
September 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Howard Ter
Cherry Valley, MA 01611-3267
Zip
01611-3267
Phone Number
508-315-2593
Cherry Valley, MA 01611Get directions →

Provider Business Mailing Address Details

Address
43 Howard Ter
Cherry Valley, MA 01611-3267
City
Cherry Valley
State
MA
Zip
01611-3267
Phone Number
508-315-2593

License Information

License Number
LICSW1121070
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elias Medina?

The NPI number of Elias Medina is 1336574391. It was assigned on September 10, 2013 and is currently active in the NPPES registry.

What is the specialty of Elias Medina?

Elias Medina is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW1121070.

Where does Elias Medina practice?

The practice location is 43 Howard Ter, Cherry Valley, MA 01611-3267. The office can be reached at 508-315-2593 (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 1336574391 directly on the NPPES registry website.

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