KATELYN BROOKE MEDINA LCSW
NPI 1063011153
Social Worker - Clinical in Charlotte, NC
NPI Status: Active since October 20, 2020
Contact Information
5200 PARK RD STE 218B
CHARLOTTE, NC
ZIP 28209
Phone: (866) 700-1606
- Individual
- Female
- Social Worker
- Clinical
About KATELYN MEDINA
This page provides the complete NPI Profile along with additional information for Katelyn Medina, a provider established in Charlotte, North Carolina with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1063011153 assigned on October 2020. The practitioner's primary taxonomy code is 1041C0700X with license number C015751 (NC). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1063011153
- Provider Name
- KATELYN BROOKE MEDINA LCSW
- Other Name
- KATELYN BROOKE LOCKLEAR
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5200 PARK RD STE 218B CHARLOTTE, NC 28209
- Location Phone
- (866) 700-1606
- Mailing Address
- PO BOX 8879 ASHEVILLE, NC 28814
- Mailing Phone
- (866) 700-1606
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-20-2020
- Last Update Date
- 05-17-2023
- Code Navigator
A clinical social worker like Katelyn Medina is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C015751
- License State
- NC
- Taxonomy Description
- 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.
Reviews for KATELYN BROOKE MEDINA LCSW
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 0 | 1 | 1 | 1 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 0 | 1 | 2 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 0 + 1 + 2 + 1 + 1 + 0 + 24 = 37 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 37 = 3 | 3 | ||||||||
The NPI number 1063011153 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861857088 | MS. TAMATHA S. FORTUNE LPCA, NCC, CCMC Individual | Counselor (Professional) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1619468501 | AISHAH RENEE WHITEHEAD LCSWA Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1659846954 | RACHEL MILBOURN LCSWA Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1558887570 | TERRITA L CHAMBERS LPC Individual | Counselor (Mental Health) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1174016422 | TIFFANY VILESE MCCULLOUGH LMFTA Individual | Marriage & Family Therapist | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1477852150 | MAYA DOMOTO LPC Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1538705801 | SHAUNTAE RENA GRIFFIN LCSWA Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1386275089 | BRIANNA D FRINK LCSWA Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1740785815 | MATLYN HOGAN TRESIERRA LCSWA Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1366937872 | TANIKA EVETTE BARBER LCSW Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1598123689 | DANIELLE MARTIN LCSWA Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1346795846 | DEANGELO DESHAUN BROOKS MS, LPCA Individual | Counselor (Professional) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1003318577 | LINDSEY YVETTE DONATIEN LCMHC Individual | Counselor (Professional) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1730707027 | TALIA SCOTT LCMHCA Individual | Counselor (Professional) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1666 |
| 1447899141 | DANIELLE C WILLIS LCSWA Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (667) 001-6068 |
| 1194311282 | AGHASHIYAH AL'HAQQAH MUHAMMAD WILSON LCSW-A Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1972933620 | DINESHA BAKER Individual | Counselor (Professional) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1861054439 | KRISTA LUGIA STUTTS MSW, LCSW-A Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1124363718 | SHASTA GABRIELLE STATEN MED, LPC Individual | Counselor (Professional) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
| 1558939082 | STEVA CHAMLAS BURNETTE LCSW-A Individual | Social Worker (Clinical) | 5200 PARK RD STE 218B CHARLOTTE, NC 28209 (866) 700-1606 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063011153, enumerated in the NPI registry as an "individual" on October 20, 2020
The provider is located at 5200 Park Rd Ste 218b Charlotte, Nc 28209 and the phone number is (866) 700-1606
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on October 20, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.