MICHELLE KAY MEDINA (NPI# 1285243139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285243139 |
| Entity Type | Individual |
| Full Name | MICHELLE KAY MEDINA |
| Credential | LCSW |
| Practice Address |
412 S Palmetto Ave Daytona Beach FL 32114-4922 |
| Practice Telephone | 3862561333 |
| Practice Fax Number | 3862542847 |
| Mailing Telephone | 3862561333 |
| Mailing Fax Number | 3862542847 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW7974 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821708 | Michelle Medina | Assistant Behavior Analyst | 660 W 56th St, Hialeah, FL 33012-6501 | 2018-05-10 |
| 1376142679 | Michelle M Medina | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-10-19 |
| 1922627660 | Michelle Marie Medina | Social Worker | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2020-04-13 |
| 1023588126 | Michelle Lynn Medina | Student in an Organized Health Care Education/Training Program | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2018-11-30 |
| 1962979898 | Michelle Natalie Medina | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2018-10-29 |
| 1154837557 | Michelle Medina | Acupuncturist | 729 El Cerrito Plz, El Cerrito, CA 94530-4022 | 2017-12-20 |
| 1659800423 | Michelle Medina | Counselor | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2017-06-06 |
| 1699227165 | Michelle Medina | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2016-10-31 |
| 1790175107 | Michelle Marie Medina | Chiropractor | 272 Calle Marginal, Suite 2, Hatillo, PR 00659-2421 | 2015-01-23 |
| 1124330329 | Michelle Medina | Nurse Anesthetist, Certified Registered | 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042-4837 | 2010-07-06 |
| Street Address |
412 S PALMETTO AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134480346 | Sari Jo Rawls | Counselor | 412 S Palmetto Ave, Daytona Beach, FL 32114-4922 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1134736259 | Bethany Tabetha Stapinski | Social Worker | 1530 Cornerstone Blvd Ste 100, Daytona Beach, FL 32117-7129 | 2020-09-24 |
| 1710492913 | Timothy P Pickerrell | Social Worker | 133 Integra Breeze Ln Unit 104, Daytona Beach, FL 32117-5584 | 2017-12-11 |
| 1265978001 | Marcia Williams | Social Worker | 249 Oak Tree Cir, Daytona Beach, FL 32114-5782 | 2017-01-18 |
| 1538516885 | Amanda Nixon | Social Worker | 444 Seabreeze Blvd, Suite 730, Daytona Beach, FL 32118-3958 | 2016-05-17 |
| 1003288580 | Trenton Friar | Social Worker | 337 Garden St, Daytona Beach, FL 32114 | 2015-10-23 |
| 1164851036 | Christina Marie Kunisch | Social Worker | 1221 Willis Avenue, Daytona Beach, FL 32114-2810 | 2013-11-01 |
| 1427499847 | Jennifer Ketring | Social Worker | 228 S Beach St, Daytona Beach, FL 32114-4404 | 2013-07-14 |
| 1003253402 | Karen E Bradt | Social Worker | 340 S Beach St, Suite 101 3n, Daytona Beach, FL 32114-5079 | 2013-05-27 |
| 1215286323 | Laura Sterling | Social Worker | 325 South Segrave Street, Daytona Beach, FL 32114 | 2012-09-05 |
| 1891003786 | Charles Harmon Stewart | Social Worker | 702 S Ridgewood Ave, Daytona Beach, FL 32114-5332 | 2010-09-14 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on MICHELLE KAY MEDINA.
| 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.