Active NPIIndividual provider

Sheila Medina, LSW

Social Worker in Pompton Lakes, New Jersey

NPI Number1912774969
Practice location
123 Wanaque Ave, Pompton Lakes, NJ 07442-2101
Fax
—
Last updated
December 11, 2023

Sheila Medina is a Social Worker based in Pompton Lakes, NJ. Sheila Medina practices in Pompton Lakes, NJ and has the professional credentials of LSW. The NPI Number for Sheila Medina is 1912774969 and holds a License No. 44SL07045200 (NJ). The current practice location address for Sheila Medina is 123 Wanaque Ave, Pompton Lakes, NJ 07442-2101 and can be reached out via phone at 862-420-3100.

Provider Profile Details

NPI Number
1912774969
Provider Name
Sheila Medina
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
123 Wanaque Ave, Pompton Lakes, NJ 07442-2101
Phone Number
862-420-3100
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
December 11, 2023
Last Update Date
December 11, 2023
Certification Date
December 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Wanaque Ave
Pompton Lakes, NJ 07442-2101
Zip
07442-2101
Phone Number
862-420-3100
Pompton Lakes, NJ 07442Get directions →

Provider Business Mailing Address Details

Address
100 Cloverdale RD Fl 2
Clifton, NJ 07013-1908
City
Clifton
State
NJ
Zip
07013-1908
Phone Number
551-296-8197

License Information

License Number
44SL07045200
License State
NJ
Taxonomy
Social Worker · 104100000X · 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 Sheila Medina, LSW?

The NPI number of Sheila Medina, LSW is 1912774969. It was assigned on December 11, 2023 and is currently active in the NPPES registry.

What is the specialty of Sheila Medina, LSW?

Sheila Medina, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL07045200.

Where does Sheila Medina, LSW practice?

The practice location is 123 Wanaque Ave, Pompton Lakes, NJ 07442-2101. The office can be reached at 862-420-3100 (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 1912774969 directly on the NPPES registry website.

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