Individual provider Active NPI

Jordan Hardiman

  • Clinical Social Worker
  • Mt Pleasant, MI
National Provider Identifier
1255847992
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801101673 Issued in MI
Practice address
218 S Washington St
Mt Pleasant, MI 48858-2514
Phone
(989) 779-9449
Fax
(989) 779-2922
NPI assigned
Dec 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801101673 MI Primary

Addresses

Primary practice location

218 S Washington St
Mt Pleasant, MI 48858-2514

Mailing address

218 S Washington St
Mt Pleasant, MI 48858-2514
Phone (989) 779-9449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20220525000402 MI Practitioner - Clinical Social Worker 9931586310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

238 Main St
Blanchard, MI 49310-9206
Phone (989) 954-7331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801101673MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Always Forward Counseling Services Clinical CurrentSince Mar 5, 2022 Accepting new patients
Addiction Solutions Counseling Clinical PastSince Oct 1, 2005 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.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1255847992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S WASHINGTON ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582514",
            "telephone_number": "989-779-9449",
            "fax_number": "989-779-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S WASHINGTON ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582514",
            "telephone_number": "989-779-9449",
            "fax_number": "989-779-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIMAN",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.