Individual provider · Type 1 NPI
Jack Fredric Leiderman, LCSW-C
Clinical Social Worker · Rockville, MD
Practice location
PO Box 10475
Rockville, MD 20849-0475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 07933 (MD) |
| Clinical Social Worker | 1041C0700X | 0904004377 (VA) |
| Clinical Social Worker | 1041C0700X | LC302377 (DC) |
Clinical Social Worker: 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 interpers…
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About NPI 1033267802
Jack Fredric Leiderman, LCSW-C's National Provider Identifier is 1033267802, issued on Jan 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockville, MD. The record was last updated on Nov 29, 2025.