IndividualActive
Katelyn Medina, LCSW
NPI 1063011153 · Clinical Social Worker · Charlotte, NC
Katelyn Medina, LCSW is a Clinical Social Worker provider in Charlotte, NC (NPI 1063011153).
Provider details
- NPI number
- 1063011153
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- C015751 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5200 Park Rd Ste 218b
Charlotte, NC 28209-3650
Phone: (866) 700-1606
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8879
Asheville, NC 28814-8879
Registry dates
- Enumerated
- 2020-10-20
- Last updated
- 2023-05-17
- Certified
- 2023-05-17
Frequently asked questions
- What is Katelyn Medina's NPI number?
- Katelyn Medina's National Provider Identifier (NPI) is 1063011153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katelyn Medina's specialty?
- Katelyn Medina is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Katelyn Medina located?
- Katelyn Medina's practice location on file with NPPES is 5200 Park Rd Ste 218b, Charlotte, NC 28209-3650.
- What is Katelyn Medina's phone number?
- The practice phone number listed in the NPPES registry for Katelyn Medina is (866) 700-1606.
- Is Katelyn Medina's NPI active?
- Yes — Katelyn Medina's NPI (1063011153) is active in the NPPES registry as of the last update on 2023-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.