Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Jose Medina-Suarez, LCSW

Individual provider Clinical Social Worker · NPI 1871192013

Benjamin Jose Medina-Suarez, LCSW is a Clinical Social Worker in St Petersburg, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

501 6th Ave S
St Petersburg, FL 33701-4409
Phone: (727) 767-4619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1871192013
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESJuly 13, 2024
Certification dateJuly 13, 2024

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