Amy M Jordan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

314 Prosperity Drive
Knoxville, TN 37923-4710

Phone

(865) 407-0071

Fax

(865) 217-1109

NPI assigned

Nov 12, 2024

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 and National Provider Directory roles.

• Gregory Brewer, M.D.,PLLC

  • Cardiovascular Disease Physician
  • Knoxville, TN
  • NPI 1619150539
  NPD
• Knoxville Mindful Wellness Center, LLC

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1902375942

  Clinical

  NPD

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1124842646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 PROSPERITY DRIVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234710",
            "telephone_number": "865-407-0071",
            "fax_number": "865-217-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 PROSPERITY DRIVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234710",
            "telephone_number": "865-407-0071",
            "fax_number": "865-217-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Frederick Jonkers
• Kawal Jooma, MSW
• Khairunnissa Jooma, DNP/PMHNP-BC/LPC
• Minaz Aziz Jooma
• Amber Jordan, APRN
• Jean Whitlock Jordan, M.C.D. CCC-SLP
• John Jordan, OD
• Mary Elizabeth Jordan, DO
• Merianne Jordan, DPT
• Nathaniel John Jordan, DO

• All providers in Knoxville, TN
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.