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

Mark Anthony Medina

Individual provider Clinical Social Worker · NPI 1861833725

Mark Anthony Medina is a Clinical Social Worker in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2013

Practice location Address checks out

1498 SE Tech Center Pl
Vancouver, WA 98683-9591
Phone: (360) 567-2211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60699712 (WA)

Record details

NPI number1861833725
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2013
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

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