Randi E. Jeddis, MSW,LCSW,LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SC00172600 Issued in NJ

Legal business name

RANDI E. JEDDIS, MSW,LCSW,LLC

Practice address

6 Pompton Ave
Suite #24
Cedar Grove, NJ 07009-2042

Phone

(973) 239-3373

NPI assigned

Apr 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Randi Ellen Jeddis, MSW,LCSWNPI 1699973040

Title

Psychotherapist

Phone

(973) 239-3373

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randi Ellen Jeddis, MSW, LCSW

  • Clinical Social Worker
  • Nutley, NJ
  • NPI 1699973040
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1568636504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 POMPTON AVE",
            "address_2": "SUITE #24",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092042",
            "telephone_number": "973-239-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 POMPTON AVE",
            "address_2": "SUITE #24",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092042",
            "telephone_number": "973-239-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDI E. JEDDIS, MSW,LCSW,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "JEDDIS",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "973-239-3373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW,LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC00172600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699973040",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Puzino, C.A.
• Samantha Quon, DPT
• R. Swami Nathan, MD PA
• Courtney Taylor Raab, OTR/L
• Naipaul Rambaran, MD
• Carlos R Rangel, MSPT, CWCE
• Mark Edward Raum, DPT
• Cessna Jane Tusalem Redondo
• Beth-Ann Ribaudo, D.I.R.PRACTIONER
• Judith Ann Riekert, OTR/L

• Social Worker in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.