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

Individual provider Clinical Social Worker · NPI 1477307676

Teddy Rey Medina, LMSW, LCSW is a Clinical Social Worker in Fort Sam Houston, Texas. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.
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

3551 Roger Brooke Dr Dept OF
Fort Sam Houston, TX 78234-4504
Phone: (210) 539-1047
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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 14268953-3501 (UT)

Record details

NPI number1477307676
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW , LCSW
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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