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

Individual provider Clinical Social Worker · NPI 1346550522

Jennifer Kathryn Medina, LCSW is a Clinical Social Worker in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2010
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

2108 Umstead Dr
Raleigh, NC 27603
Phone: (919) 445-0837
Fax: (919) 733-9441
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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 C007020 (NC)

Record details

NPI number1346550522
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 20, 2010
Last updated in NPPESNovember 27, 2023
Certification dateNovember 21, 2023

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