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

Shannon Monique Medina

Individual provider School Social Worker · NPI 1366092645

Shannon Monique Medina is a School Social Worker in Penasco, New Mexico. Licensed in New Mexico. Registered with an NPI since 2019.

Licensed in
NM
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

13 Old School Rd
Penasco, NM 87553
Phone: (575) 587-2502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence X-11248 (NM)
School Social Worker Taxonomy 1041S0200X · Licence 376369 (NM)

Record details

NPI number1366092645
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2019
Last updated in NPPESSeptember 18, 2019