Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Iliana Paola Medina

Individual provider Social Worker · NPI 1003384405

Iliana Paola Medina is a Clinical Social Worker in Bronx, New York. Qualified in 2020, 6 years ago. Practices with New York Psychotherapy and Counseling Center, a 115-clinician group.

Years since qualifying
6
In the registry since
2018
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Practice location Address checks out

579 Courtlandt Ave
Bronx, NY 10451-5013
Phone: (718) 485-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1003384405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 5, 2018
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice New York Psychotherapy And Counseling Center — 115 clinicians
Accepts Medicare assignment Not indicated

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