Taylor Medina, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

144079 Issued in TX

Practice address

124 Knightsbridge Park LN
Houston, TX 77018-2306

Phone

(702) 787-4738

NPI assigned

Jun 12, 2023

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1952085706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14407 SUNBLUFF CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 KNIGHTSBRIDGE PARK LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770182306",
            "telephone_number": "702-787-4738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14407 Sunbluff Ct",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774294971",
            "country_code": "US",
            "telephone_number": "702-787-4738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "TAYLOR",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "144079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Medina, APRN
• Sanjuana V. Medina
• Sayra Guadalupe Medina, LPC
• Sofia Medina
• Stephanie Medina
• Medinet Family Care Clinic, P.a.
• Medinet Physician Partners PLLC
• Medinet Urgent Care, PA
• Medinn Corp
• Mediplus Diagnostic Services Inc

• Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.