JENNIFER MARIE MEDINA (NPI# 1821454745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821454745 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE MEDINA |
| Other Name | JENNIFER MARIE JANKOVSKY |
| Credential | L.C.S.W. |
| Practice Address |
4945 Williams Dr Georgetown TX 78633-2008 |
| Mailing Address |
119 Verna Spur Georgetown TX 78628-2447 |
| Practice Telephone | 5128190718 |
| Mailing Telephone | 7082120188 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
56959 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861668634 | Jennifer Boyajian Medina | Dentist | 235 Peruvian Ave, Palm Beach, FL 33480-4695 | 2008-05-01 |
| 1326647124 | Jennifer Medina | Behavior Technician | 333 University Ave Ste 200, Sacramento, CA 95825-6540 | 2020-10-22 |
| 1902422801 | Jennifer Medina | Student in an Organized Health Care Education/Training Program | 3333 Regis Blvd, Denver, CO 80221-8926 | 2020-06-17 |
| 1245871474 | Jennifer Medina | Dental Hygienist | 126 Audubon Ave, Braintree, MA 02184-2352 | 2019-09-29 |
| 1609326925 | Jennifer Joanne Medina | Licensed Practical Nurse | 502 Court St, Suite 210, Utica, NY 13502-4236 | 2016-10-11 |
| 1659745164 | Jennifer Lea Medina | Nurse Practitioner | 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 | 2015-11-20 |
| 1356685689 | Jennifer Medina | Social Worker | 12440 Firestone Blvd, Suite 1000, Norwalk, CA 90650-4328 | 2012-11-27 |
| 1144513821 | Jennifer Elaine Medina | Clinical Neuropsychologist | 3333 S Bannock St, Ste 435, Englewood, CO 80110-2432 | 2011-05-27 |
| 1760791537 | Jennifer Lynn Medina | Counselor | 1225 Crane St, Ste 205, Menlo Park, CA 94025-4257 | 2010-09-28 |
| Street Address |
4945 WILLIAMS DR |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78633-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659352680 | John E Carlson | Internal Medicine | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2005-11-08 |
| 1245752369 | Wendy Tsao | Social Worker | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2017-07-11 |
| 1407388531 | Hope Fuller | Internal Medicine | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2017-03-29 |
| 1356740856 | Ashton Schutza | Physician Assistant | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2014-08-20 |
| 1386072494 | Parisa Amirabadi | Physician Assistant | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2013-10-29 |
| 1225471188 | Zayd Luay Abdullah Al-nouri | Internal Medicine | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2013-04-10 |
| 1609132711 | Nupur Jhawar | Internal Medicine | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2012-04-03 |
| 1255629960 | Joseph Cessac | Optometrist | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2011-07-14 |
| 1124319819 | Sadia Rashid | Internal Medicine | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2011-04-28 |
| 1700186657 | Amanda Jane Murphy | Occupational Therapist | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2010-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098937 | Medsur One Telemedicine LLC | Nurse Practitioner | 110 Eisenhower Court (administrative Office Location), 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633 | 2020-03-18 |
| 1467946384 | Majestic Healthcare, Pllc | Nurse Practitioner | 110 Eisenhower Ct, Georgetown, TX 78633 | 2018-06-15 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1255783510 | Peter James Mcgrath | Physical Therapist | 4749 Williams Drive, Suite 335, Georgetown, TX 78633 | 2016-07-11 |
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1902130701 | Don Wayne Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 624 Rio Grand Loop, Georgetown, TX 78633 | 2009-09-25 |
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1215035845 | Saramma George | Family Medicine | 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 | 2006-09-20 |
| 1104834258 | Mobile Cr Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4749 Williams Dr, Georgetown, TX 78633 | 2006-08-04 |
| 1619997350 | Kathryn E Holland | Counselor | 603 Chambers Creek Ct, Georgetown, TX 78633 | 2006-07-19 |
| Find all providers in zip 78633 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344489 | Haley Faye Price | Social Worker | 114 Brandywine Dr, Georgetown, KY 40324-1441 | 2020-07-24 |
| 1174166235 | Melissa L Gould LLC | Social Worker | 205 E University Ave Ste 151, Georgetown, TX 78626-6817 | 2019-10-22 |
| 1790326494 | Amy Renee Marino | Social Worker | 113 Whispering Wind Dr, Georgetown, TX 78633-4504 | 2019-10-03 |
| 1982162954 | Cassandra Kimberly Hesse | Social Worker | 101 W Cooperative Way Unit 238, Georgetown, TX 78626-8208 | 2019-03-07 |
| 1134604952 | Pamela J Corkum | Social Worker | 148 Jewett St, Georgetown, MA 01833-1814 | 2018-09-27 |
| 1346723178 | Deaton & Deaton Counseling | Social Worker | 215 Montgomery Ave, Georgetown, KY 40324-1247 | 2018-09-07 |
| 1013494731 | Elizabeth Anne Carroll | Social Worker | Penn Brook School 68 Elm St, Georgetown, MA 01833 | 2018-07-25 |
| 1811483944 | Katy Elizabeth Bruce | Social Worker | 1006 S Rock St # 102, Georgetown, TX 78626-5837 | 2018-07-01 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1235585837 | Stomptherapy LLC | Social Worker | 201 Duck Creek Ln, Georgetown, TX 78633-4114 | 2016-05-12 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78633 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.