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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON MARTINA RAPALO MEDINA, LICSW

Active

SHANNON MARTINA RAPALO MEDINA, LICSW is a Clinical Social Worker healthcare provider located in FRIDLEY, Minnesota. NPI 1104531458 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FRIDLEY, MN

Registration Details

NPI Number
1104531458
Provider Type
Individual
Gender
Female
NPI Issued
Jan 20, 2023 (3.5211195380962 yrs)
Last Updated
Jan 20, 2023
License
26538 (MN)

Practice Information

Address
5155 E RIVER RD STE 401
FRIDLEY, MN, 554213777
Browse MN providers · Browse ZIP 55421
Phone
7639139184
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in FRIDLEY, MN

Name Credential NPI
DEANNE MILLER LICSW 1679516611
MRS. CHRISTINE C. KVIDERA MSW, LICSW 1568489649
MRS. KRISTEN MARIE FRITSINGER MSW, LICSW 1407864812
PAUL CARLETON RYALS LICSW 1336152644
MS. SUSAN JANE VENZKE SOCIAL WORKER 1598874703
JAMES MULLER POWELL L.I.C.S.W. 1174634992
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.