Individual provider · Type 1 NPI
Diane S. Jerdan, LCSW
Clinical Social Worker · Ithaca, NY
Practice location
122 West Court St
Ithaca, NY 14850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R0507620 (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…
Another provider at this address
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About NPI 1386721371
Diane S. Jerdan, LCSW's National Provider Identifier is 1386721371, issued on Nov 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Jul 8, 2007.