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

Individual provider Clinical Social Worker · NPI 1881129864

Jamie Pederson, LCSW is a Clinical Social Worker in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017
What do these letters mean?
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

4849 Greenville Ave Ste 1545
Dallas, TX 75206-4198
Phone: (605) 868-1386
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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 58684 (TX)

Record details

NPI number1881129864
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 27, 2017
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

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