JENNIFER MARIE MEDINA L.C.S.W.
NPI 1821454745
Social Worker - Clinical in Georgetown, TX

Q: What is Jennifer Medina's NPI number?

The NPI number for Jennifer Medina is 1821454745. It was assigned to this individual provider in the NPPES registry on January 7, 2016. The provider is also known as Jennifer Marie Jankovsky.

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 January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 07, 2016PECOS Enrolled

4945 WILLIAMS DR, GEORGETOWN, TX 78633(512) 819-0718 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jennifer Marie Medina L.c.s.w. NPPES

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

JENNIFER MARIE MEDINA L.C.S.W. (NPI 1821454745) is an individual clinical provider in Georgetown, Texas, licensed in Texas (56959) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1821454745

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER MARIE MEDINACredential: L.C.S.W.

Location Address4945 WILLIAMS DRGeorgetown, TX 78633-2008

Mailing Address119 Verna SpurGeorgetown, TX 78628-2447 · (708) 212-0188

Phone(512) 819-0718

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJanuary 7, 2016

✔ NPI 1821454745 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 TX · 56959

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.

4945 WILLIAMS DR, Georgetown, TX 78633

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Other Names 1

Former Name (1)Jennifer Marie Jankovsky

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Marie Medina L.c.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648788661

PECOS Enrollment IDI20250801001084

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78633 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.84 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.

Pharmacy (Community/Retail Pharmacy)