Jordan Williams

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1503 Liatris LN
North Pole, AK 99705-5082

Phone

(503) 380-0717

NPI assigned

Oct 7, 2019

Last updated

Oct 7, 2019By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1093356339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 LIATRIS LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055082",
            "telephone_number": "503-380-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 LIATRIS LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055082",
            "telephone_number": "503-380-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Nicole Vondra, RN
• Nina Elaine Wendt, PH.D.
• Brittany Jean Wesseling, RBT
• Jenny Whitt
• Jennifer Caye Willeford, IBCLC
• Marissa Arielle Winter, LCSW
• Bart D. Worthington, D.O.

• Clinical Social Worker in North Pole, AK
• Providers in North Pole, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.