Michelle Kay Medina, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7974 Issued in FL

Practice address

412 S Palmetto Ave
Daytona Beach, FL 32114-4922

Phone

(386) 256-1333

Fax

(386) 254-2847

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Community Services IncGroup PAC ID 5193254290, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Epic Community Services, Inc

  • Community/Behavioral Health Agency
  • St Augustine, FL
  • NPI 1831279280
  Medicare reassignment Care Compare group NPD
• Chrysalis Center, LLC

  dba Chrysalis Health

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1700961646
  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1285243139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S PALMETTO AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144922",
            "telephone_number": "386-256-1333",
            "fax_number": "386-254-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S PALMETTO AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144922",
            "telephone_number": "386-256-1333",
            "fax_number": "386-254-2847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 N State St Unit 58",
            "address_purpose": "LOCATION",
            "city": "Bunnell",
            "state": "FL",
            "postal_code": "321103401",
            "country_code": "US",
            "telephone_number": "904-829-2273",
            "fax_number": "904-824-0724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MICHELLE",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrett Melanie McWhorter, PA-C
• Sydney Meade, PA
• Medallion Health Care Services
• Medicaid Dentistry of Daytona LLC
• Medical Arts Optical Service,Inc
• William H Meek, MD
• Mefl, LLC (Miracle-Ear)
• Maggie Mejia, AP, DOM
• Nathan Mekhaeil
• Poemlarp Mekraksakit, MD

• Clinical Social Worker in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Clinical Social Worker in Florida

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

Verify at the official NPI Registry.