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

Jesse R Northridge, LCSW

Individual provider Social Worker · NPI 1265948079

Jesse R Northridge, LCSW is a Social Worker in Hershey, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
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

22 NE Dr
Hershey, PA 17033-2732
Phone: (717) 531-8338
Fax: (717) 531-6250
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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 CW021046 (PA)
Social Worker Taxonomy 104100000X · Licence SW134804 (PA)

Record details

NPI number1265948079
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 18, 2017
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

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