Jordan Galloway

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020326 Issued in NC

Practice address

1200 Murchison Rd
Fayetteville, NC 28301-4252

Phone

(910) 672-1446

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jordan Quick Former name

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.

• Creative Minds Healthcare PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1801526116

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1023861424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CL TART CIR APT 203",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283143115",
            "telephone_number": "336-471-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MURCHISON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014252",
            "telephone_number": "910-672-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2827 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035403",
            "country_code": "US",
            "telephone_number": "910-676-8019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2829 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035403",
            "country_code": "US",
            "telephone_number": "910-676-8019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-30352",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "QUICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Gallegos, PBS-F
• Dale Anthony Gallo Jr., DPT
• Zachary Paul Gallo, MD
• Hui Sun Gallop, O.M.DIP.
• Jeremiah Galloway, BT
• Resa B Galloway
• Amanda K Galvan, LCMHC, LPC
• Arryn Kasey Gamble, DPT
• Brian S Gamble, PHARMD
• Elizabeth Ann Gamble, PSY.D.

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.