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

Jill Ann Pedersen, LICSW

Individual provider Clinical Social Worker · NPI 1821347436

Jill Ann Pedersen, LICSW is a Clinical Social Worker in Jersey City, New Jersey. Qualified in 2006, 20 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts, New Jersey and Rhode Island.

Years since qualifying
20
Licensed in
MA, NJ, RI
In the registry since
2012
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

281 2nd St
Jersey City, NJ 07302
Phone: (917) 913-3999
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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 44SC05505800 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence ISW20967 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 122082 (MA)

Record details

NPI number1821347436
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 29, 2012
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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