Jason Alan Jordan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801081946 Issued in MI

Practice address

16197 Ohio St
Detroit, MI 48221-2953

Phone

(313) 632-0287

NPI assigned

Nov 5, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childrens Hospital of Michigan

  • Children's Hospital
  • Detroit, MI
  • NPI 1447616354
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478304000000",
    "number": "1023550209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16197 OHIO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212953",
            "telephone_number": "313-632-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16197 OHIO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212953",
            "telephone_number": "313-632-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-05",
        "last_updated": "2016-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandreika Jordan, MA, LPC
• Christopher Wayne Jordan, LLPC
• Cole William Jordan, OD
• Darryl Robert Jordan
• Gloria Jordan
• Marilyn Alyda Jordan
• Millard Dennis Jordan, DDS
• Rashanda Jordan
• Vanessa Jordan, LLPC
• Magon Alicia Jorden

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.