VANESSA MEDINA (NPI# 1205120037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205120037 |
| Entity Type | Individual |
| Full Name | VANESSA MEDINA |
| Credential | LCSW |
| Practice Address |
2120 N Mays St Suite 490 Round Rock TX 78664-2192 |
| Mailing Address |
17409 Wiseman Dr Pflugerville TX 78660-5723 |
| Practice Telephone | 5123418908 |
| Practice Fax Number | 5122558521 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
50169 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819891 | Vanessa K Medina | Behavior Technician | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-07-27 |
| 1629692116 | Vanessa Medina | Technician | 410 Peachtree Pkwy Ste 4245, Cumming, GA 30041-7407 | 2020-06-01 |
| 1093359614 | Vanessa Medina | Speech-Language Pathologist | 3141 Center Point Dr, Edinburg, TX 78539-8433 | 2019-11-06 |
| 1780152496 | Vanessa Medina | Physical Therapist | 6759 Sierra Ct Ste A, Dublin, CA 94568-2657 | 2018-11-12 |
| 1871989780 | Vanessa Marie Medina | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-01-w256, Temple, TX 76508-0001 | 2015-04-08 |
| 1720119712 | Vanessa Medina | Physical Therapist | 701 Hamburg Tpke, Wayne, NJ 07470-2098 | 2007-03-08 |
| 1902824949 | Vanessa Medina | Social Worker | 1007 North Main Street, Dayville, CT 06241-0839 | 2006-07-18 |
| Street Address |
2120 N MAYS ST SUITE 490 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021256 | Edgar Bacares | Pediatrics | 2120 N Mays St, Round Rock, TX 78664-2192 | 2005-08-24 |
| 1336498534 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2120 N Mays St, Ste 230, Round Rock, TX 78664-2192 | 2012-09-04 |
| 1164778601 | Demetria J Mccann | Counselor | 2120 N Mays St, Suite 490, Round Rock, TX 78664 | 2012-08-02 |
| 1104099514 | Juan S. Laremont Jr. | Physician Assistant | 2120 N Mays St, Suite 450, Round Rock, TX 78664-2192 | 2008-04-07 |
| 1417130063 | Rapid Care Clinic Pa | Family Medicine | 2120 N Mays St, Suite 450, Round Rock, TX 78664-2192 | 2007-12-06 |
| 1760692370 | Anna Regina Jessup | Nurse Practitioner | 2120 N Mays St, Suite 450, Round Rock, TX 78664-2192 | 2007-05-23 |
| 1932237542 | Texas Orthopedics Sports & Rehabilitation Associates Pa | Orthopaedic Surgery | 2120 N Mays St, Suite 100, Round Rock, TX 78664-2107 | 2007-03-02 |
| 1710027859 | Lone Star Circle of Care | Clinic/Center | 2120 N Mays St, Suite 430, Round Rock, TX 78664-2192 | 2007-02-07 |
| 1710936307 | Natacha Pankratz | Pediatrics | 2120 N Mays St, Ste 430, Round Rock, TX 78664-2192 | 2006-05-09 |
| 1083673214 | Building A Stronger Community Tomorrow Through The Children of Today | Clinic/Center | 2120 N Mays St, #430, Round Rock, TX 78664-2108 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492204 | Viesca Therapeutic Services, Pllc | Social Worker | 600 Round Rock West Dr Ste 606, Round Rock, TX 78681-5005 | 2020-09-20 |
| 1912519141 | Teresa Franz | Social Worker | 1911 Autumn Run Ln, Round Rock, TX 78665-5032 | 2020-08-19 |
| 1922625540 | Laura Beth Poulter | Social Worker | 2845 Deerfern Ln, Round Rock, TX 78665-2574 | 2020-06-30 |
| 1811514821 | Stephanie Michelle Stidham | Social Worker | 3308 Pablo Cir, Round Rock, TX 78665-2160 | 2020-06-25 |
| 1740806728 | Krista Jo Renee Dusek | Social Worker | 1616 Sylvia Ln, Round Rock, TX 78681-1987 | 2020-06-24 |
| 1043833056 | Atx Mental Health, Pllc | Social Worker | 306 E Main St Ste 103, Round Rock, TX 78664-5220 | 2020-05-26 |
| 1669003554 | Skull Honey LLC | Social Worker | 1101 Satellite Vw Unit 504, Round Rock, TX 78665-1591 | 2020-01-29 |
| 1497304232 | Eboni S Lunsford Calbow | Social Worker | 2710 Mirasol Loop, Round Rock, TX 78681-2459 | 2019-09-04 |
| 1891263109 | Latina May Griffin | Social Worker | 106 S Harris St Ste 234, Round Rock, TX 78664-6081 | 2018-11-05 |
| 1104394543 | Christina Stokes | Social Worker | 107 Fannin Ave # 200, Round Rock, TX 78664-5218 | 2018-11-04 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.