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

MS. Vivian M Medina, LCSW

Individual provider Clinical Social Worker · NPI 1063659449

MS. Vivian M Medina, LCSW is a Clinical Social Worker in New York, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

1 Gustave Levy Pl
New York, NY 10029-6574 Not confirmed with CMS for 17 years — call before visiting
Phone: (212) 824-7287
Fax: (212) 241-4000
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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 R056281 (NY)

Record details

NPI number1063659449
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 7, 2009
Last updated in NPPESJanuary 7, 2009

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