Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA DEARDORFF, LICSW
Active Sole ProprietorJESSICA DEARDORFF, LICSW is a Clinical Social Worker healthcare provider located in WALNUT, California. NPI 1194586099 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WALNUT, CA
Registration Details
- NPI Number
- 1194586099
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2024 (2.390823373526 yrs)
- Last Updated
- Dec 15, 2025
- License
-
DP00945771 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
340 S LEMON AVE STE 9892WALNUT, CA, 917892706Browse CA providers · Browse ZIP 91789
- Phone
- 4156455759
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WALNUT, CA
| Name | Credential | NPI |
|---|---|---|
| MS. BONITA LOUISE CONWAY | LCSW | 1851481667 |
| MRS. STEPHANIE Z. LANE | LCSW | 1689871493 |
| MS. AMANDA C ZYBALA | LCSW | 1760739254 |
| MRS. CASEY ELIZABETH SMITH | LCSW | 1801135587 |
| JOSHUA SIMPSON | — | 1104350792 |
| LEAH SHROCK | — | 1689168247 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.