Individual provider · Type 1 NPI

Jack Heinemann, LCSW-R

Clinical Social Worker · Teaneck, NJ

NPI number 1275917296 Active

Practice location

175 Cedar Ln Ste 6
Teaneck, NJ 07666-4315

Call (718) 413-2600 Map

Other practice locations

  • 514 49th St, Brooklyn, NY 11220-2010 · (718) 413-2600

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X44SC06030100 (NJ)
Clinical Social Worker Primary 1041C0700X087410 (NY)

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 1275917296

Jack Heinemann, LCSW-R's National Provider Identifier is 1275917296, issued on Jul 20, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Teaneck, NJ. The record was last updated on Oct 7, 2026.