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

Rene Agne Medina, LCSW

Individual provider Clinical Social Worker · NPI 1265917660

Rene Agne Medina, LCSW is a Clinical Social Worker in Bethlehem, Pennsylvania. Qualified in 2014, 12 years ago. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
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

2545 Schoenersville Rd Fl 5
Bethlehem, PA 18017-7300
Phone: (484) 884-6503
Fax: (484) 884-6504
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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 CW019303 (PA)

Record details

NPI number1265917660
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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