Active NPI
Celina Medicina, LCSW
- Clinical Social Worker
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW24740
- Practice address
- 419 SE 2ND St
Fort Lauderdale, FL 33301-2076 - Phone
- (954) 651-0914
- NPI assigned
- Jun 2, 2025
- Last updated
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW24740 | FL | Primary |
Addresses
Primary practice location
419 SE 2ND St
Fort Lauderdale, FL 33301-2076
Mailing address
419 SE 2ND St
Fort Lauderdale, FL 33301-2076
Phone (954) 651-0914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, MN, TX, FL, ND, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
205 E Benson Blvd
Suite 401
Anchorage, AK 99503-4019
Phone (701) 205-3000
3674 S Washington St
Grand Forks, ND 58201-5766
Phone (701) 205-3000
519 Anne St NW
Suite a
Bemidji, MN 56601-4277
Phone (701) 205-3000
64 E 100
Gunnison, UT 84634-7709
Phone (701) 205-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW24740 | FL | MD | Clinical Social Worker |
| 35744 | MN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Peterson Medical Clinics, LLC | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients |
Locations
205 E Benson Blvd
Ste 401
Anchorage, AK 99503
519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700
4501 15th Ave SW
Ste 105
Fargo, ND 58103
3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rural Psychiatry Associates
- Multi-Specialty Clinic/Center
- Grand Forks, ND
- NPI 1699295774
AK, MN, UT
-
- Critical Access Hospital
- Nome, AK
- NPI 1154358232
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
-
- Clinic/Center
- Port Heiden, AK
- NPI 1740342658
-
- Medicare Defined Swing Bed Hospital Unit
- Dillingham, AK
- NPI 1770645202
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Nome, AK
- NPI 1427187046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1043103799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 SE 2ND ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012076",
"telephone_number": "954-651-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 SE 2ND ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012076",
"telephone_number": "954-651-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDICINA",
"first_name": "CELINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW24740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Medical Rehab Clinic of Broward LLC (Medical Rehab Clinic of Broward)
- Medical Staffing Network Healthcare, LLC (MSN HomeCare)
- Medical Staffing Network, Inc.
- Medical Supplies Distributor, Inc.
- Medical Vitality Clinic LLC
- Medicor Homecare Inc
- Amanda Medina Martinez
- Medisun Medical Center 2 Inc
- Medivan Health and Community Services, Inc.
- Medpro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.