Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elisabeth Mary Medino, LCSW

Individual provider Social Worker · NPI 1396247342

Elisabeth Mary Medino, LCSW is a Social Worker in Pompton Lakes, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

38 Chestnut Ave
Pompton Lakes, NJ 07442-2406
Phone: (973) 907-4908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05963500 (NJ)
Social Worker Taxonomy 104100000X · Licence 44SL06073800 (NJ)

Record details

NPI number1396247342
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 6, 2018
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021

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