Nicole Jordan, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

15970 SE Misty Dr # 100
Happy Valley, OR 97086-4368

Phone

(503) 659-1694

Fax

(503) 659-8984

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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

• Oregon Pediatrics - Happy Valley, PC

  • Pediatrics Physician
  • Happy Valley, OR
  • NPI 1669794541
  NPD
• Oregon Pediatrics-Oregon City, PC

  • Pediatrics Physician
  • Oregon City, OR
  • NPI 1114558368
  NPD
• Rupa K. Shah, MD, PC

  dba Oregon Pediatrics-Clackamas

  • Pediatrics Physician
  • Clackamas, OR
  • NPI 1275579906
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1073292090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 SE SUNNYBROOK BLVD # 200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156841",
            "telephone_number": "503-659-1694",
            "fax_number": "503-659-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15970 SE MISTY DR # 100",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864368",
            "telephone_number": "503-659-1694",
            "fax_number": "503-659-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "NICOLE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jensen, MS, CCC-SLP
• Wendy Jimenez
• Joann Lundberg LPC PC (Happy Valley Counseling)
• Wendy G Jones, MSW, LCSW, CADCIII
• Kayla Jordan
• Kaitlyn Jungblut
• Steven Jay Justice, D.D.S.
• Kaiser Foundation Health Plan of the Northwest (Johnson Creek Dental Office)
• Catherine Kanda, DC
• Kristi Keats, FNP-C

• Clinical Social Worker in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.