Vanessa C Medina, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWB-2025-0752 Issued in NM

Practice address

500 Laser Rd NE
Rio Rancho, NM 87124-4517

Phone

(505) 962-1242

NPI assigned

Jan 10, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lilly's Internal Light, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1073128351
  NPD
• Rio Rancho Public Schools

  • School Social Worker
  • Rio Rancho, NM
  • NPI 1033458088
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1013621457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45281",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871745281",
            "telephone_number": "505-677-0988",
            "fax_number": "505-808-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LASER RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244517",
            "telephone_number": "505-962-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Coors Byp NW Ste E1",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871144055",
            "country_code": "US",
            "telephone_number": "505-677-0988",
            "fax_number": "505-808-4942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "VANESSA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "SWB-2025-0752",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2025-0752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Medina-Funes, LMHC
• Alexis K Medina
• Amanda Medina
• Feliz Antonia Medina
• Lisa J Medina, RDH
• Alicia T Medrano, RDH
• Audrey Medrano, LCSW
• Jeremy D Meehleib
• Danielle Meier, NP
• Emily Hicks Melancon

• Clinical Social Worker in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.