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

Individual provider Clinical Social Worker · NPI 1760039564

Jordan Brown Sander, LCSW is a Clinical Social Worker in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2019.

Licensed in
NJ
In the registry since
2019
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

16-01 Broadway
Fair Lawn, NJ 07410-2026
Phone: (201) 797-0001
Fax: (201) 796-0002
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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 44SL06363000 (NJ)

Record details

NPI number1760039564
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 26, 2019
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022

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