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PAMELA JEAN LUNZ MEDINA
NPI 1780540716
Social Worker - Clinical in Fort Edward, NY

Active since January 03, 2026
46 REYNOLDS RD, FORT EDWARD, NY 12828(518) 573-0239 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pamela Jean Lunz Medina NPPES

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

PAMELA JEAN LUNZ MEDINA (NPI 1780540716) is an individual clinical provider in Fort Edward, New York, licensed in New York (128515-01) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1780540716
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePAMELA JEAN LUNZ MEDINA
Location Address46 REYNOLDS RDFort Edward, NY 12828-9217
Mailing Address46 Reynolds RdFort Edward, NY 12828-9217
Phone(518) 573-0239
Sole ProprietorNo
Enumeration DateJanuary 3, 2026
NPPES CertifiedJanuary 3, 2026
✔ NPI 1780540716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 128515-01
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.
46 REYNOLDS RD, Fort Edward, NY 12828
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Other Providers at the Same Location NPPES 8

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

MUBARIKA SAKINA MIRZA LMSW
Social Worker
46 REYNOLDS RD
FORT EDWARD, NY 12828
Washington County (518) 573-0239
SMBM, LCSW, PLLC
Community/Behavioral Health
46 REYNOLDS RD
FORT EDWARD, NY 12828
Washington County (518) 573-0239
STEPHANIE ANN RAILEY LMSW
Social Worker
46 REYNOLDS RD
FORT EDWARD, NY 12828
Washington County (518) 573-0239
SHANNON BROCK LCSWR
Social Worker (Clinical)
46 REYNOLDS RD
FORT EDWARD, NY 12828
Washington County (518) 573-0239
LAUREL GREEN LMSW
Social Worker
46 REYNOLDS RD
FORT EDWARD, NY 12828
Washington County (518) 316-9440
KIRSTEN SPERO
Social Worker
46 REYNOLDS RD
FORT EDWARD, NY 12828
Washington County (518) 573-0239
MOLLY MADDEN LMSW
Social Worker
46 REYNOLDS RD
FORT EDWARD, NY 12828
Washington County (518) 573-0239
STACY LYNN ROGERS
Social Worker
46 REYNOLDS RD
FORT EDWARD, NY 12828
Washington County (518) 573-0239

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 Pamela Medina's NPI number?

The NPI number for Pamela Medina is 1780540716. It was assigned to this individual provider in the NPPES registry on January 3, 2026.

Where is Pamela Medina located?

Pamela Medina practices at 46 Reynolds Rd, Fort Edward, NY 12828. The listed phone number is (518) 573-0239.

What is Pamela Medina'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 Pamela Medina was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.