Individual provider · Type 1 NPI

Jennifer Medina, LCSW

Clinical Social Worker · Lynwood, CA

NPI number 1356685689 Active

Practice location

3680 E Imperial Hwy Ste 220
Lynwood, CA 90262-2663

Call (323) 769-7163 Map

Fax (310) 886-5326

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X138602 (CA)
Social Worker 104100000X34113 (CA)
Social Worker 104100000X85616 (CA)
Mental Health Counselor 101YM0800X85616 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1356685689

Jennifer Medina, LCSW's National Provider Identifier is 1356685689, issued on Nov 27, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lynwood, CA. The record was last updated on May 13, 2026.