Andria Jordan, LCSW

Individual provider Active NPI Clinical Social Worker · Thompsons Station, TN

NPI 1013489343 · NPPES record last updated Dec 27, 2018

Key facts

NPI
1013489343
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6921 (TN)
Practice address
4801 Columbia Pike
Thompsons Station, TN 37179-5207
Phone
(615) 790-0567
Fax
(615) 814-2924
NPI assigned
Dec 27, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6921 TN Yes

Addresses

Primary practice location

4801 Columbia Pike
Thompsons Station, TN 37179-5207

Mailing address

1113 Murfreesboro Rd Ste 319
Franklin, TN 37064-1312
Phone (615) 790-0567

Other providers in Thompsons Station, TN

All providers in Thompsons Station, TN · Clinical Social Worker in Tennessee

Sources for this page

Verify at the official NPI Registry.