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

Jacquelyne Cisneros Medina, LCSW

Individual provider Clinical Social Worker · NPI 1831661479

Jacquelyne Cisneros Medina, LCSW is a Clinical Social Worker in El Paso, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
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

1551 Montana Ave
El Paso, TX 79902-5668
Phone: (915) 757-7999
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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 68577 (TX)

Record details

NPI number1831661479
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 20, 2018
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

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