Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MARY NG-TEDJASUKMANA, LCSW, PLLC
Active
Organization
MARY NG-TEDJASUKMANA, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY NG-TEDJASUKMANA, LCSW, PLLC MSW, CPLC, LCSW (PSYCHOTHERAPIST/ LIFE COACH)
(718) 395-2064
Entity
Organization
Contact information
Practice address
1863 W 8TH ST, BROOKLYN, NY 11223-2549
(718) 395-2064
Mailing address
1863 W 8TH ST, BROOKLYN, NY 11223-2549
(718) 395-2064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
081483
NY
1041C0700X
Clinical Social Worker
Primary
44SC05712100
NJ
Other
Enumeration date
08/10/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up