Elisabeth M Medino, LCSW
Social Worker, Clinical in Pompton Lakes, New Jersey
1396247342- Practice location
- 38 Chestnut Ave, Pompton Lakes, NJ 07442-2406
- Phone
- 973-907-4908
- Fax
- —
- Last updated
- February 18, 2021
Elisabeth Mary Medino is a Social Worker, Clinical based in Pompton Lakes, NJ. Elisabeth Mary Medino practices in Pompton Lakes, NJ and has the professional credentials of LCSW. The NPI Number for Elisabeth Mary Medino is 1396247342 and holds a License No. 44SL06073800 (NJ). The current practice location address for Elisabeth Mary Medino is 38 Chestnut Ave, Pompton Lakes, NJ 07442-2406 and can be reached out via phone at 973-907-4908.
Provider Profile Details
- NPI Number
- 1396247342
- Provider Name
- Elisabeth Mary Medino
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 38 Chestnut Ave, Pompton Lakes, NJ 07442-2406
- Phone Number
- 973-907-4908
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 6, 2018
- Last Update Date
- February 18, 2021
- Certification Date
- February 18, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 38 Chestnut Ave
Pompton Lakes, NJ 07442-2406 - City
- Pompton Lakes
- State
- New Jersey
- Zip
- 07442-2406
- Phone Number
- 973-907-4908
Provider Business Mailing Address Details
- Address
- 38 Chestnut Ave
Pompton Lakes, NJ 07442-2406 - City
- Pompton Lakes
- State
- NJ
- Zip
- 07442-2406
- Phone Number
- 973-907-4908
License Information
- License Number (1)
- 44SL06073800
- License State (1)
- NJ
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 44SC05963500
- License State (2)
- NJ
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Pompton Lakes, NJ
View all Social Worker, Clinical providers in Pompton Lakes →- Barbara Jean Keane, LCSWSocial Worker, Clinical · NPI 1467461012
- Barbara Jean Keane, M.s.w., L.c.sw.Social Worker, Clinical · NPI 1245790088
- Carol Fishelman-Rosen, LCSWSocial Worker, Clinical · NPI 1083799217
- Christopher F Vilardo, LCSWSocial Worker, Clinical · NPI 1932556099
- Debra Eisenstein-VerretSocial Worker, Clinical · NPI 1649729955
- Karl D Roman, LMSW, LSW, LCSWSocial Worker, Clinical · NPI 1528517372
Frequently Asked Questions
What is the NPI number of Elisabeth M Medino, LCSW?
The NPI number of Elisabeth M Medino, LCSW is 1396247342. It was assigned on March 6, 2018 and is currently active in the NPPES registry.
What is the specialty of Elisabeth M Medino, LCSW?
Elisabeth M Medino, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06073800.
Where does Elisabeth M Medino, LCSW practice?
The practice location is 38 Chestnut Ave, Pompton Lakes, NJ 07442-2406. The office can be reached at 973-907-4908 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396247342 directly on the NPPES registry website.