Active NPI
Jordan Klett
- Clinical Social Worker
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P017408
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P017408 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elu LLC | Clinical | Current | 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.