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

Natalia Medina, LICSW

Individual provider Clinical Social Worker · NPI 1194438796

Natalia Medina, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 Longwood Ave Fl 6, Boston, MA 02115-5711 — (617) 355-6000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LICSW1131054 (MA)

Record details

NPI number1194438796
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 29, 2022
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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