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

Mark J Medina, CSW

Individual provider Case Manager/Care Coordinator · NPI 1780423582

Mark J Medina, CSW is a Case Manager/Care Coordinator in Las Vegas, New Mexico. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2301 7th St Ste A
Las Vegas, NM 87701-4966
Phone: (505) 454-8079
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1780423582
Entity typeIndividual (Type 1)
GenderMale
Credentials CSW
Sole proprietorNo
NPI enumeratedMay 21, 2024
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

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