Active NPI
Carver Jordan
- Social Worker
- New York, NY
National Provider Identifier
1154916781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 110510-01
- Practice address
- 198 E 121St St
New York, NY 10035-3523 - Phone
- (607) 273-7494
- NPI assigned
- Mar 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 110510-01 | NY | Primary |
Addresses
Primary practice location
198 E 121St St
New York, NY 10035-3523
Mailing address
198 E 121St St
New York, NY 10035-3523
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 |
|---|---|---|---|
| 110510-01 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Children'S Service of Ithaca Inc | Past | Accepting new patients | |
| Family and Children Services of Ithaca | Social Worker | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Voluntary or Charitable Agency
- Ithaca, NY
- NPI 1124176680
-
- Social Worker
- Ithaca, NY
- NPI 1306077425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1154916781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 E 121ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100353523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 E 121ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100353523",
"telephone_number": "607-273-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "CARVER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-05",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "110510-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.