Jordan M. Nivens

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008376 Issued in NC

Practice address

220 E. First Ave. Extension
Suite 10
Lexington, NC 27292-3318

Phone

(336) 242-2450

NPI assigned

Jul 18, 2011

Last updated

Jul 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1245528744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 STATESVILLE BLVD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471411",
            "telephone_number": "704-633-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E. FIRST AVE. EXTENSION",
            "address_2": "SUITE 10",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923318",
            "telephone_number": "336-242-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVENS",
        "first_name": "JORDAN",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008376",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2837-A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuroscience Center, LLC
• Derrick Newkirk, NP-C
• Kayla Newman, LCSW
• Nia Coneyance LLC
• Joseph A. Niner, M.D.
• Cherylene Lana Norris
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #04294)
• Novant Health Employer Solutions, LLC (Nucor Wellness Center)
• Novant Health Medical Group, LLC (Novant Health Cardiology Lexington)
• Novant Health Medical Group, LLC (Novant Health Davidson Urology- Lexington)

• Clinical Social Worker in Lexington, NC
• Providers in Lexington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.