Individual provider · Type 1 NPI

Randi Ellen Jeddis, MSW, LCSW

Clinical Social Worker · Nutley, NJ

NPI number 1699973040 Active

Practice location

349 Passaic Ave
Nutley, NJ 07110-2738

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSC01726 (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 1699973040

Randi Ellen Jeddis, MSW, LCSW's National Provider Identifier is 1699973040, issued on Jul 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nutley, NJ. The record was last updated on Jul 2, 2014.