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

Jonathan Derado, LSW

Individual provider Social Worker · NPI 1063048437

Jonathan Derado, LSW is a Clinical Social Worker in Jersey City, New Jersey. Qualified in 2015, 11 years ago. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2020
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

355 Grand St
Jersey City, NJ 07302-4321
Phone: (201) 915-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL06386800 (NJ)

Record details

NPI number1063048437
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedMarch 18, 2020
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020
Mailing address355 Grand St, Jersey City, NJ 07302-4321

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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