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

Individual provider Clinical Social Worker · NPI 1497714943

Miguel Angel Medina, LCSW is a Clinical Social Worker in Bronx, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

85 W Burnside Ave
Bronx, NY 10453-4015
Phone: (718) 483-1270
Fax: (718) 228-7471
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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 · Licence R064077 (NY)

Record details

NPI number1497714943
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESAugust 19, 2010

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