Active NPIIndividual providerSole proprietor

Brenda Medina, LICSW

Social Worker, Clinical in Westerly, Rhode Island

NPI Number1407267503
Practice location
193 Canal St, Westerly, RI 02891-1556
Fax
401-596-2496
Last updated
June 26, 2015

Brenda Medina is a Social Worker, Clinical based in Westerly, RI. Brenda Medina practices in Westerly, RI and has the professional credentials of LICSW. The NPI Number for Brenda Medina is 1407267503 and holds a License No. ISW02428 (RI). The current practice location address for Brenda Medina is 193 Canal St, Westerly, RI 02891-1556 and can be reached out via phone at 401-500-5458 and via fax at 401-596-2496.

Provider Profile Details

NPI Number
1407267503
Provider Name
Brenda Medina
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
193 Canal St, Westerly, RI 02891-1556
Phone Number
401-500-5458
Fax Number
401-596-2496
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 13, 2014
Last Update Date
June 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
193 Canal St
Westerly, RI 02891-1556
Zip
02891-1556
Phone Number
401-500-5458
Fax Number
401-596-2496
Westerly, RI 02891Get directions →

Provider Business Mailing Address Details

Address
193 Canal St
Westerly, RI 02891-1556
City
Westerly
State
RI
Zip
02891-1556
Phone Number
401-500-5458
Fax Number
401-596-2496

License Information

License Number
ISW02428
License State
RI
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 Brenda Medina, LICSW?

The NPI number of Brenda Medina, LICSW is 1407267503. It was assigned on May 13, 2014 and is currently active in the NPPES registry.

What is the specialty of Brenda Medina, LICSW?

Brenda Medina, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW02428.

Where does Brenda Medina, LICSW practice?

The practice location is 193 Canal St, Westerly, RI 02891-1556. The office can be reached at 401-500-5458 (phone) or 401-596-2496 (fax).

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 1407267503 directly on the NPPES registry website.

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