Active NPIIndividual providerSole proprietor

Emily Medina, LICSW, MSW

Social Worker, Clinical in Woburn, Massachusetts

NPI Number1477020469
Practice location
3 Baldwin Green Cmn Ste 393, Woburn, MA 01801-1865
Fax
—
Last updated
October 27, 2018

Emily Medina is a Social Worker, Clinical based in Woburn, MA. Emily Medina practices in Woburn, MA and has the professional credentials of LICSW, MSW. The NPI Number for Emily Medina is 1477020469 and holds a License No. 121522 (MA). The current practice location address for Emily Medina is 3 Baldwin Green Cmn Ste 393, Woburn, MA 01801-1865 and can be reached out via phone at 781-771-9789.

Provider Profile Details

NPI Number
1477020469
Provider Name
Emily Medina
Credential
LICSW, MSW
Provider Entity Type
Individual
Gender
Female
Address
3 Baldwin Green Cmn Ste 393, Woburn, MA 01801-1865
Phone Number
781-771-9789
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 27, 2018
Last Update Date
October 27, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Baldwin Green Cmn Ste 393
Woburn, MA 01801-1865
City
Woburn
Zip
01801-1865
Phone Number
781-771-9789
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
112 High Rock Ln
Westwood, MA 02090-1038
City
Westwood
State
MA
Zip
02090-1038

License Information

License Number
121522
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 Emily Medina, LICSW, MSW?

The NPI number of Emily Medina, LICSW, MSW is 1477020469. It was assigned on October 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Emily Medina, LICSW, MSW?

Emily Medina, LICSW, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 121522.

Where does Emily Medina, LICSW, MSW practice?

The practice location is 3 Baldwin Green Cmn Ste 393, Woburn, MA 01801-1865. The office can be reached at 781-771-9789 (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 1477020469 directly on the NPPES registry website.

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