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

Jessica Fawn Ambrosini, LCSW

Individual provider Clinical Social Worker · NPI 1093216962

Jessica Fawn Ambrosini, LCSW is a Clinical Social Worker in Rutherford, New Jersey. Qualified in 2012, 14 years ago. Practices with Connect Counseling and Wellness, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2018
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

44 Union Ave
Rutherford, NJ 07070-1275
Phone: (201) 399-7225
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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 44SL05792200 (NJ)

Record details

NPI number1093216962
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Connect Counseling And Wellness, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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