Sandra Medina is a Clinical in Custer, South Dakota. Sandra Medina practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra Medina is 1881884153. The last update date is 2007-08-01.
Sandra Medina's current location address is 75 Centennial Dr, Custer, South Dakota. You can contact this provider via phone number 6056733022 and fax number 6056733022. The mailing address for Sandra Medina is 75 Centennial Dr, Custer, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Medina |
|---|---|
| Address | 75 Centennial Dr, Custer, South Dakota |
| Phone Number | 6056733022 |
| Fax Number | 6056733022 |
| Sole Proprietor | Y |
| Credentials | MSW, CSW-P |
NPI Number Detail
| NPI Number | 1881884153 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 75 Centennial Dr |
|---|---|
| City | Custer |
| State | South Dakota (SD) |
| Post Code | 577309642 |
| Phone Number | 6056733022 |
| Fax Number | 6056733022 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2210 |
|
Definition: 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, certif |
|
Post Comment/ Review Below
What is the Sandra Medina's unique identification number?
The Sandra Medina has been assigned the NPI (National Provider Identifier) Number 1881884153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Sandra Medina's physical address?
The Sandra Medina is physically located at 75 Centennial Dr, in the city of Custer, SD, with the postal code 577309642.
What is the area of specialization for Sandra Medina, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sandra Medina is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date was the 1881884153 assigned to Sandra Medina?
The Sandra Medina was issued its 1881884153 on 2007-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Sandra Medina, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sandra Medina, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-01.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO