Virginia Lois Medina-Lomas, LCSW-R
Social Worker, Clinical in Selden, NY. Individual provider (NPI-1).
NPI number1114960366
StatusActive
Last updated in NPPESMar 5, 2019
Details
- NPI
- 1114960366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Virginia Lois Medina-Lomas
- Credential
- LCSW-R
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2006
- Last updated
- Mar 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R072198-1 | NY | Yes |
Practice location
1305 Middle Country Rd Ste 14dSelden, NY 11784-2554
Phone 631-833-8266
Mailing address
77 Gauguin CourtMiddle Island
New York, NY 11953-2003
Phone 631-833-8266
Other practice locations
77 Gauguin Ct
Middle Island, NY 11953-2003
Middle Island, NY 11953-2003
Phone 631-345-3016
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