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

Jennifer Kreider, LCSW

Individual provider Clinical Social Worker · NPI 1770202905

Jennifer Kreider, LCSW is a Clinical Social Worker in Wilmington, North Carolina. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in North Carolina and New York.

Years since qualifying
8
Licensed in
NC, NY
In the registry since
2022
Specialties on file
2
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

510 Carolina Bay Dr Ste 200
Wilmington, NC 28403-2046
Phone: (910) 662-8888
Fax: (910) 662-8906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Crosfield Ave Ste 104, West Nyack, NY 10994-2229 — (845) 279-5908

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C016709 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 093833-01 (NY)

Record details

NPI number1770202905
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 23, 2022
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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