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

Individual provider Clinical Social Worker · NPI 1699093138

Jessica Fudala, LCSW is a Clinical Social Worker in Lakewood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2010
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

999 Airport Road Wrap Around Preferred Childrens Services
Lakewood, NJ 08701 Not confirmed with CMS for 13 years — call before visiting
Phone: (732) 367-1710
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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 44SC05413200 (NJ)

Record details

NPI number1699093138
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 7, 2010
Last updated in NPPESFebruary 7, 2013

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