Active NPIIndividual provider

Ms. Desiree Medina

Social Worker, Clinical in Laurel Springs, New Jersey

NPI Number1710651849
Practice location
1387 Chews Landing RD, Laurel Springs, NJ 08021-2760
Fax
—
Last updated
August 3, 2021

Desiree Medina is a Social Worker, Clinical based in Laurel Springs, NJ. Desiree Medina practices in Laurel Springs, NJ. The NPI Number for Desiree Medina is 1710651849 and holds a License No. 44sc05841300 (NJ). The current practice location address for Desiree Medina is 1387 Chews Landing RD, Laurel Springs, NJ 08021-2760 and can be reached out via phone at 855-765-6399.

Provider Profile Details

NPI Number
1710651849
Provider Name
Desiree Medina
Provider Entity Type
Individual
Gender
Female
Address
1387 Chews Landing RD, Laurel Springs, NJ 08021-2760
Phone Number
855-765-6399
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2021
Last Update Date
August 3, 2021
Certification Date
August 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1387 Chews Landing RD
Laurel Springs, NJ 08021-2760
Zip
08021-2760
Phone Number
855-765-6399
Laurel Springs, NJ 08021Get directions →

Provider Business Mailing Address Details

Address
14 Murphy Ave
Westville, NJ 08093-1645
City
Westville
State
NJ
Zip
08093-1645
Phone Number
856-617-2295

License Information

License Number
44sc05841300
License State
NJ
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 Ms. Desiree Medina?

The NPI number of Ms. Desiree Medina is 1710651849. It was assigned on August 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Desiree Medina?

Ms. Desiree Medina is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sc05841300.

Where does Ms. Desiree Medina practice?

The practice location is 1387 Chews Landing RD, Laurel Springs, NJ 08021-2760. The office can be reached at 855-765-6399 (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 1710651849 directly on the NPPES registry website.

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