Jason Jordan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005609 Issued in VA

Practice address

523 N Main St
Hillsville, VA 24343-1438

Phone

(276) 238-8885

NPI assigned

Jul 30, 2014

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

Enrolled in VA

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Preservation Services LLCGroup PAC ID 9537380746, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Family Preservation Services LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Roanoke, VA
  • NPI 1093891335
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1275941536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N MAIN ST",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N MAIN ST",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431438",
            "telephone_number": "276-238-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh Chatham Memorial Hospital, Inc. (Yadkin Valley Home Health)
• Ruth Ann Hughes, LPC LMHP
• Jeanne Watson (Appalachian Psychological Trauma Center)
• Matthew Hunter Johnson
• Rhonda Michelle Johnson, RN BSN
• Elizabeth Miranda Keene, COTA
• James Edward Kilbourne Jr., D.D.S.
• Yvette Ladd, RPH
• Emilee Lane, SLP
• Living Water Counseling Ministry

• Clinical Social Worker in Hillsville, VA
• Providers in Hillsville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.