Michelle Kay Medina, LCSW
NPI 1285243139ActiveIndividual· Social Worker, Clinical· Daytona Beach, FL
Social Worker, Clinical (LCSW) in Daytona Beach, Florida, trained at Fordham University School of Medicine (class of 2001). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1285243139 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jul 27, 2020 |
| Last updated in NPPES | Oct 7, 2025 |
| Certified by provider | Oct 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW7974 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (FL) |
|---|
Education and affiliations
| Medical school | Fordham University School of Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Epic Community Services IncSaint Augustine, FL · 7 clinicians
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