JENNIFER MEDINA (NPI# 1356685689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356685689 |
| Entity Type | Individual |
| Full Name | JENNIFER MEDINA |
| Credential | ASW, MSW |
| Practice Address |
12440 Firestone Blvd Suite 1000 Norwalk CA 90650-4328 |
| Mailing Address |
Po Box 3672 Bell Gardens CA 90202-3672 |
| Practice Telephone | 5628643722 |
| Practice Fax Number | 5628644596 |
| Mailing Telephone | 5628643722 |
| Mailing Fax Number | 5628644596 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2013-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 34113 | CA | 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 |
| 1821454745 | Jennifer Marie Medina | Social Worker | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2016-01-07 |
| 1659745164 | Jennifer Lea Medina | Nurse Practitioner | 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 | 2015-11-20 |
| 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 |
12440 FIRESTONE BLVD SUITE 1000 |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063465557 | A & T Healthcare Services, Inc. | Home Health | 12440 Firestone Blvd, Ste 240, Norwalk, CA 90650-4328 | 2006-05-18 |
| 1811598824 | Alicia Gutierrez | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-11-05 |
| 1477168649 | Juan Santillan | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-09-14 |
| 1356959928 | Kourtney Benson | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-07-20 |
| 1114542180 | Katelyn Hazel Avila | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-06-15 |
| 1205463122 | Violet Gonzalez | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-03-23 |
| 1972136778 | Dennisse Rosas | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-02-20 |
| 1295386837 | Jason Marc Dubois | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-09-25 |
| 1417509878 | Brandon J Grant | Nurse Practitioner | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-07-15 |
| 1588138689 | Elizama Sigala | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542915 | Lucy Mae Evans | Social Worker | 142 East Ave Ste A, Norwalk, CT 06851-5742 | 2020-09-10 |
| 1063978971 | Journey To Joy, LLC | Social Worker | 1 Little Way, Norwalk, CT 06855-1606 | 2019-02-15 |
| 1982124590 | Jamaal Shoffner | Social Worker | 29 Van Buren Ave, Norwalk, CT 06850-3323 | 2017-06-24 |
| 1699200162 | Stacey Lynn Carabin | Social Worker | 2559 Old State Rd N, Norwalk, OH 44857-9358 | 2017-04-21 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1427441260 | Amanda M Kubicek | Social Worker | 12440 E Firestone Blvd, Suite 3020, Norwalk, CA 90650-9331 | 2015-03-17 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1720412026 | Gillian Barbara Tanz | Social Worker | 18 Naromake Ave, Norwalk, CT 06854-4707 | 2013-08-22 |
| 1578716783 | Helen B. Mccue | Social Worker | 9 Mott Avenue, Family and Children's Agency, Norwalk, CT 06850 | 2008-10-31 |
| 1114141579 | Parent Enrichment Program | Social Worker | 9339 Lakewood Circle, Norwalk, IA 50211-1867 | 2007-04-13 |
| Find all providers in NORWALK | ||||
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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.