Provider Demographics
NPI:1376941781
Name:BRODSKY, JODI L (LCSW)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:L
Last Name:BRODSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8023
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-8023
Mailing Address - Country:US
Mailing Address - Phone:908-367-3371
Mailing Address - Fax:
Practice Address - Street 1:37 DUMONT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:FAR HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07931-2814
Practice Address - Country:US
Practice Address - Phone:908-367-3371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-17
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055867001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical