EMILY MEDINA, LCSW, LLC (NPI# 1114318656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114318656 |
| Entity Type | Organization |
| Organization Name | EMILY MEDINA, LCSW, LLC |
| Practice Address |
2 Ivy Brook Rd Shelton CT 06484-6416 |
| Mailing Address |
50 Morningside Dr Ansonia CT 06401-1312 |
| Practice Telephone | 2034466486 |
| Mailing Telephone | 2034466486 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | EMILY MEDINA (LCSW) |
| Authorized Official Telephone | 2034466486 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
007837 | CT | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Emily Medina, Lcsw, LLC | 30 Controls Drive, Suite 10, Suite 10, Ansonia, CT 06484 |
| Street Address |
2 IVY BROOK RD |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053303818 | John F Reilly | Surgery | 2 Ivy Brook Rd, Suite 105, Shelton, CT 06484-6416 | 2005-08-18 |
| 1437764826 | Hunter Prindle-nelson | Specialist/Technologist | 2 Ivy Brook Rd, Shelton, CT 06484-6416 | 2020-09-11 |
| 1467082966 | Neurosurgery, Orthopaedics & Spine Specialists, PC | Orthopaedic Surgery | 2 Ivy Brook Rd, Shelton, CT 06484-6416 | 2020-01-23 |
| 1982913455 | Diana Reichbind | Physician Assistant | 2 Ivy Brook Rd, Suite 213, Shelton, CT 06484-6416 | 2010-10-01 |
| 1184816761 | Ladan Hamdheydari | Psychiatry & Neurology | 2 Ivy Brook Rd, Ste120, Shelton, CT 06484-6416 | 2007-08-16 |
| 1013122977 | Brian Lee Sperling | Urology | 2 Ivy Brook Rd, Ste 115, Shelton, CT 06484-6416 | 2007-05-14 |
| 1538249842 | Plastic and Reconstructive Surgery Specialists LLC | Surgery | 2 Ivy Brook Rd, Suite 105, Shelton, CT 06484-6416 | 2006-10-17 |
| 1760413538 | Nami Bayan | Internal Medicine | 2 Ivy Brook Rd, Ste 120, Shelton, CT 06484-6416 | 2006-07-06 |
| 1114956380 | Mark Aferzon | Otolaryngology | 2 Ivy Brook Rd, Suite 110, Shelton, CT 06484-6416 | 2006-07-01 |
| 1043283302 | Stephen R Woodworth | Internal Medicine | 2 Ivy Brook Rd, Suite 205, Shelton, CT 06484-6416 | 2006-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| 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 |
|---|---|---|---|---|
| 1366917734 | Nancy S Tauck | Social Worker | 6203 Avalon Dr, Shelton, CT 06484-7616 | 2018-10-11 |
| 1255827317 | Jenny E. Noia-gilson, Lcsw, Pllc | Social Worker | 415 Howe Ave Ste 193, Shelton, CT 06484-3168 | 2018-07-02 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1770083354 | Denise M. Newton, Lcsw LLC | Social Worker | 185 Canal St Unit 1003, Shelton, CT 06484-8122 | 2018-02-20 |
| 1952800997 | Melissa R Hopco | Social Worker | 48 Richard Blvd, Shelton, CT 06484-4384 | 2018-02-05 |
| 1083122550 | Tracy Clough | Social Worker | 515 Bridgeport Ave, Shelton, CT 06484-5366 | 2018-01-17 |
| 1447763586 | Joshua Aaron Neitlich | Social Worker | 24 Centerview Dr, Shelton, CT 06484-2626 | 2017-11-11 |
| 1447603188 | Alexandra L Becker | Social Worker | 35 Kazo Dr, Shelton, CT 06484-5712 | 2016-07-18 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| Find all providers in SHELTON | ||||
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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.