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

Jessica Lee Derise, LCSW-C

Individual provider Clinical Social Worker · NPI 1134358658

Jessica Lee Derise, LCSW-C is a Clinical Social Worker in Redwood City, California. Licensed in Maryland. Registered with an NPI since 2009.

Licensed in
MD
In the registry since
2009

Practice location Address checks out

251 Jackson Ave
Redwood City, CA 94061-1630
Phone: (650) 368-2383
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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 18803 (MD)

Record details

NPI number1134358658
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedJuly 6, 2009
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

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