Jordan a. Conrad, L.C.S.W., P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JORDAN A. CONRAD, L.C.S.W., P.C.

Practice address

1123 Broadway Ste 308
New York, NY 10010-2093

Phone

(929) 352-0449

NPI assigned

Mar 7, 2024

Last updated

Mar 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Conrad, PHD, LCSWNPI 1265916902

Title

Ceo/Owner/Psychotherapist

Phone

(929) 352-0449

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Conrad, PHD, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1265916902
  NPD Authorized official

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1366200198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 BROADWAY STE 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102093",
            "telephone_number": "929-352-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 BROADWAY STE 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102093",
            "telephone_number": "929-352-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN A. CONRAD, L.C.S.W., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CEO/OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "929-352-0449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jung Eun Joo, MSTOM, DAOM, LAC.
• Leslie Jeongmi Joo
• Mona Joodi, DMD
• Aliya Jooma
• Joonsung Lee Physical Therapy, P.C.
• Mary V Jordan Arnette
• Jordan B Smith M D P C
• Jordan C. Stern M.D.P.C.
• Jordan D Metzl MD PC
• Jordan D Metzl MD PC

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.