Individual provider Active NPI

Jordan Klett

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1093319527
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017408 Issued in NC
Practice address
6781 Camden Rd
Fayetteville, NC 28306-7223
Phone
(877) 358-2998
Fax
(423) 405-6346
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MI
Doula 374J00000X MI
Clinical Social Worker 1041C0700X P017408 NC Primary

Addresses

Primary practice location

6781 Camden Rd
Fayetteville, NC 28306-7223

Mailing address

1101 W 40TH St Unit 2225
Chattanooga, TN 37409-1379
Phone (877) 358-2998

Other practice location 1

1519 York Rd
Lutherville, MD 21093-5611
Phone (877) 358-2998

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P017408NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elu LLC Clinical CurrentSince Jan 1, 2023 Accepting new patients

Locations

6781 Camden Rd
Fayetteville, NC 28306

1828 Ralph Stephens Rd
Holly Springs, NC 27540

1201 S Main St
Lillington, NC 27546

1101 W 40th St
Unit 2225
Chattanooga, TN 37409
Phone (423) 486-0774

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1093319527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W 40TH ST UNIT 2225",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091379",
            "telephone_number": "877-358-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 CAMDEN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067223",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1519 York Rd",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210935611",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLETT",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.