Individual provider · Type 1 NPI

Jenny Jerdan

Clinical Social Worker · Louisville, KY

NPI number 1104533421 Active

Practice location

4912 US Highway 42 Ste 104
Louisville, KY 40222-6357

Mailing address

428 Sprite Rd Apt 2
Louisville, KY 40207-1932

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW00001138 (KY)

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 1104533421

Jenny Jerdan's National Provider Identifier is 1104533421, issued on Nov 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Oct 16, 2025.