Individual provider · Type 1 NPI

Jesse R. Northridge, LCSW

Clinical Social Worker · Hershey, PA

NPI number 1265948079 Active

Practice location

22 Northeast Dr
Hershey, PA 17033-2732

Fax (717) 531-6250

Mailing address

PO Box 858, Mc A410
Hershey, PA 17033-0858

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XSW134804 (PA)
Clinical Social Worker Primary 1041C0700XCW021046 (PA)

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 1265948079

Jesse R. Northridge, LCSW's National Provider Identifier is 1265948079, issued on Dec 18, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hershey, PA. The record was last updated on Feb 7, 2020.