Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jonathan Lebolt, PHD, LCSW, CGP

Individual provider Clinical Social Worker · NPI 1639125446

Dr. Jonathan Lebolt, PHD, LCSW, CGP is a Clinical Social Worker in West Orange, New Jersey. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

38 Cerone Ct
West Orange, NJ 07052-4113
Phone: (973) 524-4917
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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 20618 (MD)

Record details

NPI number1639125446
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCSW , CGP
Sole proprietorYes
NPI enumeratedMay 25, 2006
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022

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