Maudeen Grace Jordan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW3139 Issued in OR

Practice address

2004 Main St
Suite 203
Forest Grove, OR 97116-2349

Phone

(503) 998-6803

NPI assigned

May 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1124286125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9335 SW BIRDIE DR",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971139621",
            "telephone_number": "503-998-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 MAIN ST",
            "address_2": "SUITE 203",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162349",
            "telephone_number": "503-998-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MAUDEEN",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC25291",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "LCSW3139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE IN CLINICAL SOCIAL WORK",
            "identifier": "LCSW 3139",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Melvin Johnson, D.M.D.
• Tiffany Johnson
• Rebekkah Sue Jolliff, PTA
• Jonathan Faris DMD PC
• Rickard L Jones, M.S.P.T.
• Trevor Dee Jorgensen, M.D.
• Nancy Juarez
• John Joseph Kaib, MD
• Al-Fazil Karim
• Meagen Kassner

• Clinical Social Worker in Forest Grove, OR
• Providers in Forest Grove, 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 May 22, 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.