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JESSICA FUDALA LCSW
NPI 1699093138
Social Worker - Clinical in Lakewood, NJ

Active since May 07, 2010
999 AIRPORT ROAD WRAP AROUND, PREFERRED CHILDRENS SERVICES, LAKEWOOD, NJ 08701(732) 367-1710 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Fudala Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA FUDALA LCSW (NPI 1699093138) is an individual clinical provider in Lakewood, New Jersey, licensed in New Jersey (44SC05413200) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1699093138
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA FUDALACredential: LCSW
Location Address999 AIRPORT ROAD WRAP AROUND, PREFERRED CHILDRENS SERVICESLakewood, NJ 08701
Mailing Address438 Winding WayBrick, NJ 08723-4940 · (732) 477-5035
Phone(732) 367-1710
Sole ProprietorYes
Enumeration DateMay 7, 2010
Last NPPES UpdateFebruary 7, 2013
✔ NPI 1699093138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05413200
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
999 AIRPORT ROAD WRAP AROUND, Lakewood, NJ 08701
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Other Identifiers 1

Medicaid0018872NJ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Fudala's NPI number?

The NPI number for Jessica Fudala is 1699093138. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Where is Jessica Fudala located?

Jessica Fudala practices at 999 Airport Road Wrap Around Preferred Childrens Services, Lakewood, NJ 08701. The listed phone number is (732) 367-1710.

What is Jessica Fudala's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jessica Fudala was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.