Virginia L Medina-Lomas, Lcsw-R
Social Worker, Clinical in Selden, NY. Organization (NPI-2).
NPI number1235948951
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1235948951
- Entity type
- Organization (NPI-2)
- Legal business name
- Virginia L Medina-Lomas, Lcsw-R
- Organization subpart
- No
- Enumeration date
- Jan 7, 2025
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1305 Middle Country Rd Ste 14dSelden, NY 11784-2554
Phone 631-833-8266
Mailing address
77 Gauguin CtMiddle Island, NY 11953-2003
Phone 631-833-8266
Authorized official
Virginia Medina-Lomas
Owner
6318338266
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