Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Ng-Tedjasukmana, LCSW, PLLC

Organization Clinical Social Worker · NPI 1528583507

Mary Ng-Tedjasukmana, LCSW, PLLC is a Clinical Social Worker in Brooklyn, New York. Licensed in New Jersey and New York. Registered with an NPI since 2017.

Licensed in
NJ, NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1863 W 8th St
Brooklyn, NY 11223-2549
Phone: (718) 395-2064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05712100 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence 081483 (NY)

Record details

NPI number1528583507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ng-Tedjasukmana, Lcsw, Pllc — Psychotherapist/ Life Coach · (718) 395-2064
NPI enumeratedAugust 10, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1863 W 8th St, Brooklyn, NY 11223-2549

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