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

Individual provider Clinical Social Worker · NPI 1164472940

Sandra Rzetelny, LCSW is a Clinical Social Worker in Teaneck, New Jersey. Qualified in 1976, 50 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
50
Licensed in
NJ
In the registry since
2006
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

121 Cedar Ln Ste 3C
Teaneck, NJ 07666-4457
Phone: (201) 410-2226
Fax: (201) 569-4340
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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 44SC05178200 (NJ)

Record details

NPI number1164472940
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESDecember 30, 2019
Certification dateDecember 30, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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