Evelyn Medina, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

7000 SW 62ND Ave Ste PH-S
South Miami, FL 33143-4716

Phone

(561) 444-3512

Fax

(888) 318-4788

NPI assigned

Jun 21, 2022

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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.

• Leap Forward Mental Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1831070051
  NPD Authorized official
• Behavioral Health Integrative Care of FL, LLC

  • Multi-Specialty Clinic/Center
  • West Palm Beach, FL
  • NPI 1073223442
  NPD (past)
• NR Florida Associates LLC

  dba Retreat Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Lake Worth, FL
  • NPI 1568887545
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1750012845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 N KENDALL DR STE 275",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567523",
            "telephone_number": "786-306-8778",
            "fax_number": "888-318-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE PH-S",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434716",
            "telephone_number": "561-444-3512",
            "fax_number": "888-318-4788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 Sandlake Commons Blvd Ste 2205",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198031",
            "country_code": "US",
            "telephone_number": "561-444-3512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15600 SW 288th St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330331200",
            "country_code": "US",
            "telephone_number": "561-444-3512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "471 Spencer Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334093675",
            "country_code": "US",
            "telephone_number": "561-444-3512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "EVELYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Therapy & Spa, Inc.
• Medeye Surgery Center, LLC
• Medical Group at South Miami Inc
• Medical Infusion Solutions, LLC (Vital Care of South Miami)
• Medical Masage Professionals LLC
• Ignacio Ramon Medina, ARNP
• Marieddy Y Medina
• Yairizet Medina, APRN
• Medlab Diagnostics 2 LLC
• Medlab Diagnostics, LLC (FastLabs)

• Clinical Social Worker in South Miami, FL
• Providers in South Miami, 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 Aug 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.