KARLA M MEDINA (NPI# 1174166425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174166425 |
| Entity Type | Individual |
| Full Name | KARLA M MEDINA |
| Practice Address |
1726 Buckley Ln Provo UT 84606-5031 |
| Practice Telephone | 8013736562 |
| Practice Fax Number | 8013759225 |
| Mailing Telephone | 8013736562 |
| Mailing Fax Number | 8013759225 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6810875-3506 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033644232 | Karla Medina | Specialist | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2017-04-25 |
| 1215289541 | Karla Medina | Physical Therapist | 700 S La Posada Cir, Green Valley, AZ 85614-5100 | 2012-10-10 |
| 1598791048 | Karla Ann Medina | Anesthesiology | 4000 Spencer Hwy, Pasadena, TX 77504-1202 | 2006-06-25 |
| Street Address |
1726 BUCKLEY LN |
| City | PROVO |
| State | UT |
| Zip Code | 84606-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528171493 | House of Hope | Substance Abuse Rehabilitation Facility | 1726 Buckley Ln, Provo, UT 84606-5031 | 2006-08-16 |
| 1154920353 | Brooke Arledge | Social Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-10-20 |
| 1932712981 | Brittany Phillips | Social Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-08-28 |
| 1184255275 | Joey Payne | Counselor | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-28 |
| 1285264556 | Maycin Quiterio | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-24 |
| 1710517081 | Amy Franco | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-24 |
| 1972133684 | Hillary Gentillon | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-22 |
| 1518597111 | Sophie Mcklane Swenson | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-22 |
| 1003446600 | Caylin Louise Lefevre | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-22 |
| 1366082729 | Crystal Bettis | Social Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| Find all providers in zip 84606 | ||||
| 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 |
|---|---|---|---|---|
| 1154943868 | Joy Bouchard | Social Worker | 1933 N 1120 W, Provo, UT 84604-1044 | 2020-05-15 |
| 1275181596 | Karmen Tuivai | Social Worker | 1507 N University Ave Ste 150, Provo, UT 84604-2657 | 2019-08-29 |
| 1144876798 | Marilyn Taylor Morgan | Social Worker | 1765 N 1550 E, Provo, UT 84604-5710 | 2019-08-09 |
| 1700379369 | Building Beginnings Recovery | Social Worker | 286 S 600 E Ste A, Provo, UT 84606-4780 | 2018-06-08 |
| 1922555093 | Scott Parker | Social Worker | 63 N 300 E, Provo, UT 84606-3241 | 2016-09-07 |
| 1316348394 | Mary Reas | Social Worker | 225 S 300 E, Provo, UT 84606-4743 | 2014-09-10 |
| 1053721399 | Brigham Young | Social Worker | 1190 N 900 E Ste 204, Provo, UT 84604-3536 | 2014-05-07 |
| 1902221328 | Christine Lindsey | Social Worker | 2230 N University Pkwy Ste 7e, Provo, UT 84604-6701 | 2014-02-21 |
| 1447671896 | Cory Virgin | Social Worker | 558 N 2310 W, Provo, UT 84601-7253 | 2014-01-01 |
| 1912345877 | Kate Aryn Edwards | Social Worker | 161 W 400 S Apt 6, Provo, UT 84601-4519 | 2013-06-12 |
| Find all providers in PROVO | ||||
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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.