Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Ng-Tedjasukmana, LCSW

Individual provider Clinical Social Worker · NPI 1376829119

Mrs. Mary Ng-Tedjasukmana, LCSW is a Clinical Social Worker in Brooklyn, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2011
Specialties on file
2
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

1863 W 8th St
Brooklyn, NY 11223-2549
Phone: (718) 395-2064
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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 44SC05712100 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence 081483-1 (NY)

Record details

NPI number1376829119
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 25, 2011
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020

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