Individual provider Active NPI

Courtney Mae Jordan-Navarro, MSW, ASW

  • Clinical Social Worker
  • Woodland, CA
National Provider Identifier
1366800278
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
82842 Issued in CA
Practice address
814 North St
Woodland, CA 95695-3538
Phone
(530) 383-9713
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW66977 CA
Clinical Social Worker 1041C0700X 82842 CA Primary

Addresses

Primary practice location

814 North St
Woodland, CA 95695-3538

Mailing address

814 North St
Woodland, CA 95695-3538
Phone (530) 383-9713

Other identifiers 1

IdentifierTypeStateIssuer
ASW66977OtherCABOARD OF BEHAVIORAL SCIENCES, ASSOCIATE CLINICAL SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
82842CAMDClinical Social Worker
ASW66977CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1366800278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 NORTH ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953538",
            "telephone_number": "530-383-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 NORTH ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953538",
            "telephone_number": "530-383-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN-NAVARRO",
        "first_name": "COURTNEY",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "MSW, ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW66977",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES, ASSOCIATE CLINICAL SOCIAL WORKER",
            "identifier": "ASW66977",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.