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

Jeremy Medina

Individual provider Clinical Social Worker · NPI 1376143784

Jeremy Medina is a Clinical Social Worker in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

151 Lawrence St Fl 4
Brooklyn, NY 11201-5240
Phone: (917) 685-2396
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 096856 (NY)

Record details

NPI number1376143784
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

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