Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Randi Ellen Jeddis, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1699973040

MS. Randi Ellen Jeddis, MSW, LCSW is a Clinical Social Worker in Nutley, New Jersey. Qualified in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
37
Licensed in
NJ
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

349 Passaic Ave
Nutley, NJ 07110-2738
Phone: (973) 214-5988
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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 SC01726 (NJ)

Record details

NPI number1699973040
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedJuly 6, 2007
Last updated in NPPESJuly 2, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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