Sandra Medina, MSW, CSW-PIP, LCSW in Custer, SD - Social Worker

Sandra Medina, MSW, CSW-PIP, LCSW is a Social Worker - Clinical based in Custer, South Dakota. Sandra Medina is licensed to practice in South Dakota (license number 2210) and her current practice location is 122 N 6th St, Custer, South Dakota. She can be reached at her office (for appointments etc.) via phone at (605) 673-3022.

NPI number for Sandra Medina is 1881884153 and her current mailing address is 75 Centennial Dr, Custer, South Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881884153.

Contact Information

	Sandra Medina, MSW, CSW-PIP, LCSW
	122 N 6th St, Custer, SD 57730-1647
	(605) 673-3022
	(605) 673-3022

Healthcare Provider's Profile

Full Name	Sandra Medina
Gender	Female
Speciality	Social Worker - Clinical
Location	122 N 6th St, Custer, South Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1881884153
Provider Enumeration Date: 08/01/2007
Last Update Date: 03/30/2024

Medical Identifiers

Medical identifiers for Sandra Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881884153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2210 (South Dakota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Medina is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sandra Medina, MSW, CSW-PIP, LCSW 75 Centennial Dr, Custer, SD 57730-9642 Ph: (605) 673-3022	Sandra Medina, MSW, CSW-PIP, LCSW 122 N 6th St, Custer, SD 57730-1647 Ph: (605) 673-3022

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Social Worker in Custer, SD

Ms. Josephine A. Chase, MSW, LCSW-PIP
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 29 N 6th St., Custer, SD 57730
Phone: 605-431-1927 Fax: 605-923-6466

Sandra Medina, MSW, CSW-PIP, LCSW - Clinical Social Worker in Custer, SD