MIMI MEDINA L.M.S.W. NPI 1952794307

NPI Information

NPI: 1952794307
Provider Name: MIMI MEDINA, L.M.S.W.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2929 BAINBRIDGE AVE
APARTMENT 5E
BRONX, NY
ZIP 10458
Phone: (718) 365-9310
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Mimi Medina, L.M.S.W. is a mental health counselor in Bronx, NY. Mimi Medina, L.M.S.W. NPI is 1952794307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2929 BAINBRIDGE AVE
APARTMENT 5E
BRONX, NY
ZIP 10458-825
Phone: (718) 365-9310

The enumeration date for this NPI number is 3/10/2015 and was last updated on 3/10/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	072101	NEW YORK	No
2	101YM0800X	Counselor	Mental Health	072101	NEW YORK	Yes

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: 11/14/2023

NPI Synchronization or Removal

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