Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Sussman, LCSW

Individual provider Clinical Social Worker · NPI 1245935931

Jake Sussman, LCSW is a Clinical Social Worker in Mountainside, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

615 Sherwood Pkwy
Mountainside, NJ 07092-2525
Phone: (732) 991-7248
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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 44SC06194300 (NJ)

Record details

NPI number1245935931
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2023
Certification dateApril 2, 2023
Mailing address615 Sherwood Pkwy, Mountainside, NJ 07092-2525

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