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PATRICK MEDLAND LCSW LMHC LMFT NPI 1922075209


NPI Information

NPI: 1922075209
Provider Name: PATRICK MEDLAND, LCSW, LMHC, LMFT
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
655 S CLARIZZ BLVD
BLOOMINGTON, IN
ZIP 47401
Phone: (812) 335-5890
Get Directions

Patrick Medland, LCSW, LMHC, LMFT is a clinical social worker in Bloomington, IN. The provider is 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. Patrick Medland, LCSW, LMHC, LMFT NPI is 1922075209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

655 S CLARIZZ BLVD
BLOOMINGTON, IN
ZIP 47401-523
Phone: (812) 335-5890
Fax: (812) 355-5895

The enumeration date for this NPI number is 3/4/2006 and was last updated on 4/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health39000428AINDIANANo
2106H00000XMarriage & Family Therapist35000705AINDIANANo
3101Y00000XCounselor34002601AINDIANANo
4101YA0400XCounselorAddiction (Substance Use Disorder)34002601AINDIANANo
51041C0700XSocial WorkerClinical34002601AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1227860FMEDICARE ID-TYPE UNSPECIFIEDINDIANA
2000000316246OTHERANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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