Individual provider · Type 1 NPI

Jessica Fudala, LCSW

Clinical Social Worker · Lakewood, NJ

NPI number 1699093138 Active

Practice location

999 Airport Road Wrap Around, Preferred Childrens Services
Lakewood, NJ 08701

Call (732) 367-1710 Map

Mailing address

438 Winding Way
Brick, NJ 08723-4940

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	44SC05413200 (NJ)

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 1699093138

Jessica Fudala, LCSW's National Provider Identifier is 1699093138, issued on May 7, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakewood, NJ. The record was last updated on Feb 7, 2013.