Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDA MEDINA, LICSW
Active Sole ProprietorBRENDA MEDINA, LICSW is a Clinical Social Worker healthcare provider located in WESTERLY, Rhode Island. NPI 1407267503 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WESTERLY, RI
Registration Details
- NPI Number
- 1407267503
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2014 (12.231082176599 yrs)
- Last Updated
- Jun 26, 2015
- License
-
ISW02428 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
193 CANAL STWESTERLY, RI, 028911556Browse RI providers · Browse ZIP 02891
- Phone
- 4015005458
- Fax
- 4015962496
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WESTERLY, RI
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL NEIL DEROSA | LICSW | 1972568921 |
| MRS. ELLEN MCCOLLUM | LICSW | 1992737431 |
| MARY DIANE THOMPSON | LICSW | 1710909023 |
| M. CHRISTINE CURRIER | LICSW | 1568473528 |
| MS. LISE B. MAYERS | LICSW | 1609985886 |
| KIMBERLY KRALICKY | LICSW | 1336259407 |
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.