Individual provider · Type 1 NPI
Elisabeth Mary Medino, LCSW
Clinical Social Worker · Pompton Lakes, NJ
Practice location
38 Chestnut Ave
Pompton Lakes, NJ 07442-2406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 44SL06073800 (NJ) |
| Clinical Social Worker Primary | 1041C0700X | 44SC05963500 (NJ) |
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 1396247342
Elisabeth Mary Medino, LCSW's National Provider Identifier is 1396247342, issued on Mar 6, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pompton Lakes, NJ. The record was last updated on Feb 18, 2021.