Jordan Elzie

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2855 Geer Rd
Turlock, CA 95382-1133

Phone

(209) 668-9361

NPI assigned

Jul 26, 2019

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1164076360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GEER RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821133",
            "telephone_number": "209-668-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 GEER RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821133",
            "telephone_number": "209-668-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZIE",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Leonard Ellefson
• Albert Eric Ellsmore, LMFT
• Jordan Elola
• Sandra Elvira Lopez
• Tiklat Elyeh Janvisloo, CEO
• Emanuel Medical Center
• Emanuel Medical Center, Inc.
• Emanuel Medical Center, Inc.
• Emanuel Medical Center, Inc.
• Emanuel Medical Center, Inc.

• Clinical Social Worker in Turlock, CA
• Providers in Turlock, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.