Jordan Roland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C11909 Issued in MS

Practice address

1613 23Rd Ave
Gulfport, MS 39501-2960

Phone

(228) 284-4651

NPI assigned

Jun 16, 2025

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful MattersGroup PAC ID 7911287305, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mindful Matters

  • Psychiatric/Mental Health Nurse Practitioner
  • Gulfport, MS
  • NPI 1477003028
  Medicare reassignment Care Compare group NPD
• North Plantation

  • Child & Adolescent Psychiatry Physician
  • Gulfport, MS
  • NPI 1639620560
  NPD

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1184510372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 KORNMAN DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322001",
            "telephone_number": "228-273-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 23RD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012960",
            "telephone_number": "228-284-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "JORDAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Rogers, DC
• Kaitlin Rogers, PHARMD
• Laura Rogers
• Taylor Brewer Rogers, DO
• Taytum Rogers
• Connie R. Rolison, W.H.N.P.
• Alison Rollinson
• Mary Jane Romero
• Stephanie D Romero, CFNP
• Richard A Roque, IDC

• Clinical Social Worker in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.