Individual provider · Type 1 NPI

Jennifer Marie Medina, L.C.S.W.

Clinical Social Worker · Georgetown, TX

NPI number 1821454745 Active

Practice location

4945 Williams Dr
Georgetown, TX 78633-2008

Call (512) 819-0718 Map

Mailing address

119 Verna Spur
Georgetown, TX 78628-2447

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X56959 (TX)

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 1821454745

Jennifer Marie Medina, L.C.S.W.'s National Provider Identifier is 1821454745, issued on Jan 7, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Georgetown, TX. The record was last updated on Jan 7, 2016.