National Provider Identifier
Diane S Jerdan, LCSW
Diane S Jerdan, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 275-3675.
Profile Overview
- NPI
- 1386721371
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 01, 2006
- Last Updated
- July 08, 2007
Practice Location
- 122 West Court St
- Ithaca, NY 14850
Phone: (607) 275-3675
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1386721371
- Entity Type
- Individual
- Last Name
- Jerdan
- First Name
- Diane
- Middle Name
- S
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 122 West Court St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 275-3675
- Practice Street Address
- 122 West Court St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 275-3675
- Enumeration Date
- November 01, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)