JENNIFER MEDINA LCSW
NPI 1356685689
Social Worker - Clinical in Lynwood, CA

Q: What is Jennifer Medina's NPI number?

The NPI number for Jennifer Medina is 1356685689. It was assigned to this individual provider in the NPPES registry on November 27, 2012.

Q: What is Jennifer Medina's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Medina was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 27, 2012

3680 E IMPERIAL HWY STE 220, LYNWOOD, CA 90262(323) 769-7163(310) 886-5326 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2026, May 6, 2026, Jul 3, 2023 and 1 more (4 updates tracked since 2022).

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About Jennifer Medina Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MEDINA LCSW (NPI 1356685689) is an individual clinical provider in Lynwood, California, licensed in California (138602) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1356685689

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER MEDINACredential: LCSW

Location Address3680 E IMPERIAL HWY STE 220Lynwood, CA 90262-2663

Mailing Address3680 E Imperial Hwy Ste 220Lynwood, CA 90262-2663 · (323) 769-7163 · Fax (323) 886-5326

Phone(323) 769-7163

Fax(310) 886-5326

Sole ProprietorYes

Enumeration DateNovember 27, 2012

Last NPPES UpdateMay 13, 20264 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1356685689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 138602

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 85616 (CA)

Also ListedSocial WorkerTaxonomy 104100000X · License 34113 (CA), 85616 (CA)

3680 E IMPERIAL HWY STE 220, Lynwood, CA 90262

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Social Worker