BRENDA MEDINA (NPI# 1407267503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407267503 |
| Entity Type | Individual |
| Full Name | BRENDA MEDINA |
| Credential | LICSW |
| Practice Address |
193 Canal St Westerly RI 02891-1556 |
| Practice Telephone | 4015005458 |
| Practice Fax Number | 4015962496 |
| Mailing Telephone | 4015005458 |
| Mailing Fax Number | 4015962496 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2015-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW02428 | RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962995597 | Brenda Medina | Nurse Practitioner | 14804 S Spring Ridge Cir, Balch Springs, TX 75180-4315 | 2018-06-08 |
| 1952637803 | Brenda Berenice Medina | Counselor | 2960 Rodeo Park Drive, Santa Fe, NM 87505 | 2009-10-28 |
| 1023490034 | Brenda Medina | Social Worker | 428 Los Lentes Rd Se Ste 3, Los Lunas, NM 87031-6018 | 2015-06-25 |
| 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 |
193 CANAL ST |
| City | WESTERLY |
| State | RI |
| Zip Code | 02891-1556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114436847 | Take Care Counseling | Social Worker | 193 Canal St, Westerly, RI 02891-1556 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841741931 | Orthopedics Rhode Island, Inc | Orthopaedic Surgery | 268 Post Road, Westerly, RI 02891 | 2016-10-24 |
| 1235554072 | Ocean State Urgent Care Center of Westerly, LLC | Clinic/Center | 77 Franklin Street, Westerly, RI 02891 | 2014-03-04 |
| 1972843530 | Christine Elizabeth Mcauliffe | Psychologist | 93 Tower Street, Westerly, RI 02891 | 2013-02-19 |
| 1902156631 | Gustave Polzer Brucker Iv | Physical Therapist | 33 Pearl Street, Westerly, RI 02891 | 2012-09-10 |
| 1194964098 | Katherine Anne Chesson | Social Worker | 16 High St Ste 6, Westerly, RI 02891 | 2009-02-17 |
| 1679758114 | Rhode Island Cvs Pharmacy,l.l.c. | Durable Medical Equipment & Medical Supplies | 151 Franklin St., Westerly, RI 02891 | 2008-01-03 |
| 1316060346 | Glen Edward Foden | Dentist | 13 Grove Avenue, Westerly, RI 02891 | 2007-04-06 |
| 1144344888 | Town of Westerly | Local Education Agency (LEA) | 15 Highland Avenue, Westerly, RI 02891 | 2007-03-19 |
| 1144365644 | Babcock Village Apartments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Cross Street, Westerly, RI 02891 | 2007-02-21 |
| 1477698298 | Monica Lee Bailey | Counselor | 28 Wells Street, Westerly, RI 02891 | 2007-02-20 |
| Find all providers in zip 02891 | ||||
| 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 |
|---|---|---|---|---|
| 1891209284 | Jessica Wolke, Licsw | Social Worker | 21 Canal St Ste 201, Westerly, RI 02891-1587 | 2017-11-22 |
| 1033512058 | Erin Pringer | Social Worker | 21 Canal St Unit 201, Westerly, RI 02891-1587 | 2014-10-04 |
| 1194964098 | Katherine Anne Chesson | Social Worker | 16 High St Ste 6, Westerly, RI 02891 | 2009-02-17 |
| 1255486841 | Alexis T Schonrog | Social Worker | 21 Canal St Ste 2, Westerly, RI 02891-1579 | 2007-01-24 |
| 1225186794 | Leslie J Gordon | Social Worker | 81 Rossini Rd, Westerly, RI 02891-4754 | 2007-01-08 |
| 1467545749 | Cornerstone Counseling | Social Worker | 10 Hillview Dr, Westerly, RI 02891-1313 | 2006-10-01 |
| 1568554376 | Kristyn L Hill | Social Worker | 21 Canal St, Suite 201, Westerly, RI 02891-1587 | 2006-09-29 |
| 1598876211 | Elizabeth M Hyman | Social Worker | 15 High St, Westerly, RI 02891-1853 | 2006-08-31 |
| 1609985886 | Lise B. Mayers | Social Worker | 35 Wells St Unit 3, Westerly, RI 02891-2962 | 2006-08-30 |
| 1992737431 | Ellen Mccollum | Social Worker | 97 Cross Street, Westerly, RI 02891 | 2006-07-07 |
| Find all providers in WESTERLY | ||||
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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.