IndividualActive
Mark Medina
NPI 1861833725 · Clinical Social Worker · Vancouver, WA
Mark Medina is a Clinical Social Worker provider in Vancouver, WA (NPI 1861833725).
Provider details
- NPI number
- 1861833725
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LW60699712 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1498 Se Tech Center Pl
Vancouver, WA 98683-9591
Phone: (360) 567-2211
Street-level locationGet directions
Mailing address
4105 E 16th St
Vancouver, WA 98661-6205
Registry dates
- Enumerated
- 2013-07-08
- Last updated
- 2025-02-03
- Certified
- 2025-02-03
Frequently asked questions
- What is Mark Medina's NPI number?
- Mark Medina's National Provider Identifier (NPI) is 1861833725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Medina's specialty?
- Mark Medina is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mark Medina located?
- Mark Medina's practice location on file with NPPES is 1498 Se Tech Center Pl, Vancouver, WA 98683-9591.
- What is Mark Medina's phone number?
- The practice phone number listed in the NPPES registry for Mark Medina is (360) 567-2211.
- Is Mark Medina's NPI active?
- Yes — Mark Medina's NPI (1861833725) is active in the NPPES registry as of the last update on 2025-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.