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

Jennifer Marie Medina, LCSW

Individual provider Clinical Social Worker · NPI 1821454745

Jennifer Marie Medina, LCSW is a Clinical Social Worker in Georgetown, Texas. Qualified in 2008, 18 years ago. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2016
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

4945 Williams Dr
Georgetown, TX 78633-2008
Phone: (512) 819-0718
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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 56959 (TX)

Record details

NPI number1821454745
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 7, 2016
Last updated in NPPESJanuary 7, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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