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JAMIE PEDERSON LCSW
NPI 1881129864
Social Worker - Clinical in Dallas, TX

Active since April 27, 2017
4849 GREENVILLE AVE STE 1545, DALLAS, TX 75206(605) 868-1386 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2024, Apr 27, 2017 (2 updates tracked since 2017).

About Jamie Pederson Lcsw NPPES

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

JAMIE PEDERSON LCSW (NPI 1881129864) is an individual clinical provider in Dallas, Texas, licensed in Texas (58684) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1881129864
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAMIE PEDERSONCredential: LCSW
Location Address4849 GREENVILLE AVE STE 1545Dallas, TX 75206-4198
Mailing Address4849 Greenville Ave Ste 1545Dallas, TX 75206-4198 · (605) 868-1386
Phone(605) 868-1386
Sole ProprietorYes
Enumeration DateApril 27, 2017
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1881129864 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 TX · 58684
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.
4849 GREENVILLE AVE STE 1545, Dallas, TX 75206
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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 Jamie Pederson's NPI number?

The NPI number for Jamie Pederson is 1881129864. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Jamie Pederson located?

Jamie Pederson practices at 4849 Greenville Ave Ste 1545, Dallas, TX 75206. The listed phone number is (605) 868-1386.

What is Jamie Pederson'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 Jamie Pederson was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.