MICHAEL MEDLIN (NPI# 1871855528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871855528 |
Entity Type | Individual |
Full Name | MICHAEL MEDLIN |
Credential | LCSW |
Practice Address |
2720 Ne 8th Ave Apt 5 Wilton Manors FL 33334-2528 |
Practice Telephone | 7868774395 |
Mailing Telephone | 7868774395 |
Enumeration Date | 2012-06-08 |
Last Update Date | 2020-06-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW004836 | GA | Behavioral Health & Social Service Providers |
Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW16220 | FL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619339561 | Michael Medlin | Social Worker | 6629 Lake Erie Rd, Groveland, FL 34736 | 2016-03-21 |
1184016388 | Michael Medlin | Behavior Technician | 1933 Fruitridge St, Brandon, FL 33510-6006 | 2015-02-24 |
Street Address |
2720 NE 8TH AVE APT 5 |
City | WILTON MANORS |
State | FL |
Zip Code | 33334-2528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245755644 | Fusion Health & Wellness LLC | Counselor | 1164 E Oakland Park Blvd Ste 102, Oakland Park, FL 33334 | 2017-08-07 |
1376064063 | The Senior Spot | Custodial Care Facility | 410 E Oakland Park Blvd., Wilton Manors, FL 33334 | 2017-07-03 |
1952831810 | Andrew Morgan | Counselor | 450 Ne 44th Street, Oakland Park, FL 33334 | 2017-06-14 |
1033561907 | Trevor Howe Hart | Dentist | 3425 N Dixie Hwy, Oakland Park, FL 33334 | 2016-07-05 |
1548646698 | Shelly Vilsaint | Massage Therapist | 120 E. Oakland Park Blvd, Suite 208, Fort Lauderdale, FL 33334 | 2015-07-30 |
1295129641 | Kristin Joann Biggie | Pediatrics | 5333 N Dixie Highway, Suite 106, Fort Lauderdale, FL 33334 | 2015-03-24 |
1235529116 | Rodolfo Herrera Barter | General Practice | 735 E Oakland Park Blvd, Oakland Park, FL 33334 | 2015-01-29 |
1639573629 | Garrick Edwards | Health Educator | 1501 Ne 62nd Street, Ft. Lauderdale, FL 33334 | 2014-10-20 |
1568877967 | Michael James Breen Jr. | Occupational Therapist | 1000 Corporate Dr #280, Centra Healthcare, Fort Lauderdale, FL 33334 | 2014-06-24 |
1144649161 | Passage Health International | Case Management | 701 E Commercial Blvd Fl 4, Oakland Park, FL 33334 | 2014-04-08 |
Find all providers in zip 33334 |
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 |
---|---|---|---|---|
1982235362 | Jeffrey Shearer Pa | Social Worker | 1881 Ne 26th St Ste 239, Wilton Manors, FL 33305-1426 | 2020-02-04 |
1982244331 | Michael Moses Gans | Social Worker | 520 Ne 20th Street, #603, Wilton Manors, FL 33305 | 2020-01-14 |
1447795133 | Angelina Baldwin | Social Worker | 801 W Oakland Park Blvd, Apt C8, Wilton Manors, FL 33311-1793 | 2017-01-04 |
1881995421 | Ian Cleaent Griffin | Social Worker | 2725 Ne 8th Ave, Unit 108, Wilton Manors, FL 33334 | 2010-11-13 |
1114187937 | Florida Institute for Recovery and Sex Therapy | Social Worker | 2424 Wilton Dr, Wilton Manors, FL 33305-1251 | 2008-06-16 |
1861612236 | Valerie J Elsbree | Social Worker | 1650 Ne 26th St, Suite 206, Wilton Manors, FL 33305-1431 | 2007-04-26 |
1467501262 | Paul L Hyman | Social Worker | 1881 Ne 26th St Ste 221, Wilton Manors, FL 33305 | 2007-01-09 |
1003916602 | Fred F Boykin | Social Worker | 2312 Wilton Dr, Ste 29, Wilton Manors, FL 33305-1249 | 2006-09-23 |
1245838432 | Sarah Bartley, Lcsw, LLC | Social Worker | 1881 Ne 26th St Ste 70, Wilton Manors, FL 33305-1425 | 2020-10-11 |
1679182422 | Sarah Victoria Bartley | Social Worker | 1881 Ne 26th St Ste 70, Wilton Manors, FL 33305-1425 | 2020-07-28 |
Find all providers in WILTON MANORS |
City | WILTON MANORS |
Zip Code | 33334 |
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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.