Jill A Pedersen, LICSW
Social Worker, Clinical in Jersey City, New Jersey
1821347436- Practice location
- 281 2ND Street, Jersey City, NJ 07302
- Phone
- 917-913-3999
- Fax
- —
- Last updated
- May 9, 2024
Jill Ann Pedersen is a Social Worker, Clinical based in Jersey City, NJ. Jill Ann Pedersen practices in Jersey City, NJ and has the professional credentials of LICSW. The NPI Number for Jill Ann Pedersen is 1821347436 and holds a License No. ISW20967 (RI). The current practice location address for Jill Ann Pedersen is 281 2ND Street, Jersey City, NJ 07302 and can be reached out via phone at 917-913-3999.
Provider Profile Details
- NPI Number
- 1821347436
- Provider Name
- Jill Ann Pedersen
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 281 2ND Street, Jersey City, NJ 07302
- Phone Number
- 917-913-3999
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 29, 2012
- Last Update Date
- May 9, 2024
- Certification Date
- May 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 281 2ND Street
Jersey City, NJ 07302 - City
- Jersey City
- State
- New Jersey
- Zip
- 07302
- Phone Number
- 917-913-3999
Provider Business Mailing Address Details
- Address
- 25 East Ave
Marion, MA 02738-1911 - City
- Marion
- State
- MA
- Zip
- 02738-1911
- Phone Number
- 917-913-3999
License Information
- License Number (1)
- ISW20967
- License State (1)
- RI
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 122082
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- 44SC05505800
- License State (3)
- NJ
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jill A Pedersen, LICSW?
The NPI number of Jill A Pedersen, LICSW is 1821347436. It was assigned on August 29, 2012 and is currently active in the NPPES registry.
What is the specialty of Jill A Pedersen, LICSW?
Jill A Pedersen, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW20967.
Where does Jill A Pedersen, LICSW practice?
The practice location is 281 2ND Street, Jersey City, NJ 07302. The office can be reached at 917-913-3999 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821347436 directly on the NPPES registry website.