BRENDA MEDINA (NPI# 1023490034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023490034 |
| Entity Type | Individual |
| Full Name | BRENDA MEDINA |
| Credential | LCSW |
| Practice Address |
428 Los Lentes Rd Se Ste 3 Los Lunas NM 87031-6018 |
| Mailing Address |
301 S Camino Del Pueblo Bernalillo NM 87004-6276 |
| Practice Telephone | 5058653350 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C-10485 | NM | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 03300595 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962995597 | Brenda Medina | Nurse Practitioner | 14804 S Spring Ridge Cir, Balch Springs, TX 75180-4315 | 2018-06-08 |
| 1407267503 | Brenda Medina | Social Worker | 193 Canal St, Westerly, RI 02891-1556 | 2014-05-13 |
| 1952637803 | Brenda Berenice Medina | Counselor | 2960 Rodeo Park Drive, Santa Fe, NM 87505 | 2009-10-28 |
| 1588082333 | Brenda B Medina | Pediatrics | 25825 Vermont Ave, Harbor City, CA 90710 | 2014-03-30 |
| 1609854827 | Brenda Lee Medina | Chiropractor | 330 Franklin Rd, Suite 266b, Brentwood, TN 37027-3280 | 2006-01-06 |
| Street Address |
428 LOS LENTES RD SE STE 3 |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-6018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265757421 | Carol Sue Rice | Counselor | 428 Los Lentes Rd Se Ste 3, Los Lunas, NM 87031-6831 | 2010-03-31 |
| 1407328149 | Anthony Ray Padilla | Case Manager/Care Coordinator | 428 Los Lentes Rd Se Ste 3, Los Lunas, NM 87031-6018 | 2018-12-19 |
| 1629518477 | Erika Mcquerry | Case Manager/Care Coordinator | 428 Los Lentes Rd Se Ste 3, Los Lunas, NM 87031-6018 | 2017-02-27 |
| 1306201140 | Estevan Marquez | Case Manager/Care Coordinator | 428 Los Lentes Rd Se Ste 3, Los Lunas, NM 87031-6018 | 2015-12-21 |
| 1568850634 | Lavina Ransom | Case Manager/Care Coordinator | 428 Los Lentes Rd Se Ste 3, Los Lunas, NM 87031-6831 | 2014-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992353759 | Tammy Denise Ali-carr | Social Worker | 1000 Main St Nw, Los Lunas, NM 87031-4849 | 2019-08-26 |
| 1033657812 | Nichole Strasser | Social Worker | 2212 Main St Ne, Suite A, Los Lunas, NM 87031-6350 | 2017-02-01 |
| 1619325248 | Michele Pine Fuller | Social Worker | 431 Luna St Se, Los Lunas, NM 87031-6865 | 2016-05-24 |
| 1659782191 | Elise Hensley, Lisw, Inc. | Social Worker | 02 Hormiga Ct., Los Lunas, NM 87031-3319 | 2014-05-19 |
| 1508297698 | Jennie Mccraw | Social Worker | 1033 Mesa Ridge Dr Sw, Los Lunas, NM 87031-6189 | 2013-11-27 |
| 1760774673 | Brandy Lee Samaniego | Social Worker | 27 Cruces Loop, Los Lunas, NM 87031-0015 | 2011-05-10 |
| 1427219716 | Fayette Lynn Barbour | Social Worker | 2 Elm Point Rd, Los Lunas, NM 87031-5766 | 2008-06-19 |
| 1427274463 | Christine Lee John | Social Worker | 862 Avenida Pastoral Nw, Los Lunas, NM 87031-8304 | 2007-04-18 |
| 1194847145 | Kuldeep Kaur | Social Worker | 475 Courthouse Rd Se Ste A, Los Lunas, NM 87031-9596 | 2007-04-03 |
| 1902990039 | Jose Bose | Social Worker | 1525 Morris Rd Se, Los Lunas, Los Lunas, NM 87031-7332 | 2006-10-03 |
| Find all providers in LOS LUNAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.