Jordan Taylor Masters, MSW, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0906009777 Issued in VA

Practice address

1355 Beverly Rd Ste 320
MC Lean, VA 22101-3648

Phone

(703) 556-6655

NPI assigned

Apr 28, 2020

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Georgetown Psychology, P.C.

  • Clinical Psychologist
  • Washington, DC
  • NPI 1023376407
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1205457553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 BEVERLY RD STE 320",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013648",
            "telephone_number": "703-556-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 BEVERLY RD STE 320",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013648",
            "telephone_number": "703-556-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1054 31st St NW Ste 312",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200076042",
            "country_code": "US",
            "telephone_number": "202-333-6251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "JORDAN",
        "middle_name": "TAYLOR",
        "credential": "MSW, LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50083247",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0906009777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERVISEE IN CLINICAL SOCIAL WORK",
            "identifier": "0906009777",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LGSW",
            "identifier": "LG50083247",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halley A Martin, ME
• Annie Martirossian
• Robert Babak Marzban, DDS MDS
• Suzanne Duvalsaint Marzban, DDS, MS
• Tareq Massimi, M.D.
• Kathleen Walsh Matay, MA, LPC, CCTP
• Cynthia Renee Mathis, LMFT
• Venkata Satyanand Mattay, M.D.
• Lani Matthews, MD
• Meghan Matthews, DPT

• Social Worker in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.