SANDRA MEDINA (NPI# 1881884153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881884153 |
| Entity Type | Individual |
| Full Name | SANDRA MEDINA |
| Credential | MSW, CSW-PIP, LCSW |
| Practice Address |
122 N 6th St Custer SD 57730-1647 |
| Mailing Address |
75 Centennial Dr Custer SD 57730-9642 |
| Practice Telephone | 6056733022 |
| Practice Fax Number | 6056733022 |
| Mailing Telephone | 6056733022 |
| Mailing Fax Number | 6056733022 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2210 | SD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942898 | Sandra Leticia Medina | Technician | 3011 English Oaks Blvd, Pearland, TX 77584-7000 | 2018-02-21 |
| 1528598141 | Sandra Medina | Behavior Technician | 3571 Sw 117th Ave Apt 205, Miami, FL 33175-1754 | 2017-06-15 |
| 1205054152 | Sandra Lorena Medina | Counselor | 301 N Joe Wilson Rd Apt 1512, Cedar Hill, TX 75104-2341 | 2007-04-23 |
| 1568764421 | Sandra Ninoska Medina | Homemaker | 1905 Nw 82nd Ave, Doral, FL 33126-1011 | 2010-11-29 |
| 1437465606 | Sandra M Medina | Occupational Therapy Assistant | 400 W Washington Ave, Chrisman, IL 61924-1042 | 2010-08-26 |
| 1871795823 | Sandra Angelica Medina | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2007-06-01 |
| 1245360023 | Sandra Medina | Social Worker | 5150 E Pacific Coast Hwy, Suite 100, Long Beach, CA 90804-3312 | 2007-03-07 |
| 1164589636 | Sandra Elaine Medina I | Counselor | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2007-01-03 |
| Street Address |
122 N 6TH ST |
| City | CUSTER |
| State | SD |
| Zip Code | 57730-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801275326 | Heidi Sahling | Counselor | 124 6th Street, Custer, SD 57730 | 2015-05-29 |
| 1275623134 | Custer Ambulance Service Inc | Ambulance | 30 S 3rd St, Custer, SD 57730 | 2006-10-13 |
| 1801984026 | Josephine A. Chase | Social Worker | 29 N 6th St., Custer, SD 57730 | 2006-10-11 |
| 1750473070 | Horse Nation Healing, Inc. | Social Worker | 37 N 5th St., Custer, SD 57730 | 2006-09-28 |
| 1760483713 | Regional Health Network Inc | Assisted Living Facility | 423 N 10 St, Custer, SD 57730 | 2005-08-02 |
| 1578019436 | Carey Daunt | Physical Therapist | 1041 Montgomery St, Custer Regional Hospital, Custer, SD 57730 | 2016-08-31 |
| 1972985224 | Christopher James Wenger | Family Medicine | 1220 Montgomery St, Custer, SD 57730 | 2015-06-23 |
| 1689760399 | Sandra Lee Conard | Chiropractor | 246 N 5th St, Custer, SD 57730 | 2006-10-04 |
| 1912014499 | Joleen E Falkenburg | Family Medicine | 1041 Montgomery Street, Custer, SD 57730 | 2006-08-23 |
| 1831161413 | Lisa B Brown | Family Medicine | 1041 Montgomery Street, Custer, SD 57730 | 2006-02-07 |
| Find all providers in zip 57730 | ||||
| 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 |
|---|---|---|---|---|
| 1619370715 | The Counseling Place | Social Worker | 538 Mount Rushmore Rd, Custer, SD 57730-1930 | 2014-10-02 |
| 1801984026 | Josephine A. Chase | Social Worker | 29 N 6th St., Custer, SD 57730 | 2006-10-11 |
| 1750473070 | Horse Nation Healing, Inc. | Social Worker | 37 N 5th St., Custer, SD 57730 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342929 | Chabli Hodge | Social Worker | 1231 Cottage Ave Apt 205, Vermillion, SD 57069-3557 | 2020-10-06 |
| 1316550601 | Jackson Cole Schumacher | Social Worker | 2001 Eastgate Ave., Pierre, SD 57501-5691 | 2020-08-26 |
| 1689290256 | In Focus Counseling, LLC | Social Worker | 1724 S 9th Ave, Suite 7, Sioux Falls, SD 57105-2138 | 2020-06-19 |
| 1467077511 | Meditelecare of South Dakota, LLC | Social Worker | 503 S Pierre St, Pierre, SD 57501-4522 | 2020-06-15 |
| 1932721388 | Dakota Counseling Institute | Social Worker | 910 W Havens, Mitchell, SD 57301 | 2020-05-08 |
| 1013548775 | Jo Ella S. Russell | Social Worker | 500 N, 5th Street, Hot Springs, SD 57747 | 2020-01-31 |
| 1245896273 | Robert Lyons | Social Worker | Hot Springs Vamc, Hot Springs, SD 57747 | 2019-05-15 |
| 1497310247 | Shelli Jo Rodrigues | Social Worker | 2001 Eastgate, Pierre, SD 57501-5691 | 2019-05-07 |
| 1518522739 | Andrew Havens | Social Worker | 3625 5th St Ste 100, Rapid City, SD 57701-6002 | 2019-05-02 |
| 1164086450 | Aimee E Peterson | Social Worker | 1601 E 69th St Ste 206, Sioux Falls, SD 57108-8322 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
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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.