ELISABETH MARY MEDINO LCSW
NPI 1396247342
Social Worker - Clinical in Pompton Lakes, NJ

Active since March 06, 2018
38 CHESTNUT AVE, POMPTON LAKES, NJ 07442(973) 907-4908 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2021, Mar 6, 2018 (2 updates tracked since 2018).

About Elisabeth Mary Medino Lcsw NPPES

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

ELISABETH MARY MEDINO LCSW (NPI 1396247342) is an individual clinical provider in Pompton Lakes, New Jersey, licensed in New Jersey (44SC05963500) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1396247342
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELISABETH MARY MEDINOCredential: LCSW
Location Address38 CHESTNUT AVEPompton Lakes, NJ 07442-2406
Mailing Address38 Chestnut AvePompton Lakes, NJ 07442-2406 · (973) 907-4908
Sole ProprietorNo
Enumeration DateMarch 6, 2018
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
NPI 1396247342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NJ · 44SC05963500
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 ListedSocial WorkerTaxonomy 104100000X · License 44SL06073800 (NJ)
38 CHESTNUT AVE, Pompton Lakes, NJ 07442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisabeth Medino's NPI number?

The NPI number for Elisabeth Medino is 1396247342. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Elisabeth Medino located?

Elisabeth Medino practices at 38 Chestnut Ave, Pompton Lakes, NJ 07442. The listed phone number is (973) 907-4908.

What is Elisabeth Medino's specialty?

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

When was this NPI record last updated?

The NPPES record for Elisabeth Medino was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.