Organization Active NPI

Virginia L Medina-Lomas, LCSW-R

  • Clinical Social Worker
  • Selden, NY
National Provider Identifier
1235948951
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIRGINIA L MEDINA-LOMAS, LCSW-R
Practice address
1305 Middle Country Rd Ste 14D
Selden, NY 11784-2554
Phone
(631) 833-8266
NPI assigned
Jan 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Virginia Medina-Lomas, LCSWNPI 1114960366
Title
Owner
Phone
(631) 833-8266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1305 Middle Country Rd Ste 14D
Selden, NY 11784-2554

Mailing address

77 Gauguin CT
Middle Island, NY 11953-2003
Phone (631) 833-8266

National Provider Directory

National Provider Directory

Locations

1305 Middle Country Rd
Ste 14D
Selden, NY 11784
Phone (631) 833-8266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1235948951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GAUGUIN CT",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532003",
            "telephone_number": "631-833-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MIDDLE COUNTRY RD STE 14D",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842554",
            "telephone_number": "631-833-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA L MEDINA-LOMAS, LCSW-R",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "MEDINA-LOMAS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-833-8266",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.