Individual
MR. JACK FREDRIC LEIDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
PO BOX 10475, ROCKVILLE, MD 20849-0475
(240) 731-5353
Mailing address
PO BOX 10475, ROCKVILLE, MD 20849-0475
(240) 731-5353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07933
MD
1041C0700X
Clinical Social Worker
0904004377
VA
1041C0700X
Clinical Social Worker
LC302377
DC
Other
Enumeration date
01/08/2007
Last updated
11/29/2025
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