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

Juan Miguel Medina, LCSW

Individual provider Clinical Social Worker · NPI 1780064154

Juan Miguel Medina, LCSW is a Clinical Social Worker in Wichita Falls, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2015
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

4706 Lake Park Dr
Wichita Falls, TX 76302-3310
Phone: (661) 747-2697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 113 East F Street, Tehachapi, CA 93561 — (661) 822-8223

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 63416 (TX)

Record details

NPI number1780064154
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 1, 2015
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

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