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

Individual provider Clinical Social Worker · NPI 1932733599

Pamela J Tedeschi, LCSW is a Clinical Social Worker in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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

1050 Hallock Ave
Port Jefferson Station, NY 11776-1214
Phone: (631) 974-1431
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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 075777 (NY)

Record details

NPI number1932733599
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 23, 2020
Last updated in NPPESFebruary 23, 2020
Certification dateFebruary 23, 2020

Other providers in Port Jefferson Station