Individual provider Active NPI

Jordan Marie Ledbetter

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1386260883
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWIA.SC.70041662 Issued in WA
Practice address
2003 D St Ste 100
Bellingham, WA 98225-3204
Phone
(360) 935-0860
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 SWIA.SC.70041662 WA Primary

Addresses

Primary practice location

2003 D St Ste 100
Bellingham, WA 98225-3204

Mailing address

2003 D St Ste 100
Bellingham, WA 98225-3204

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
SWIA.SC.70041662WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Firefly Institute CurrentSince Jun 21, 2020 Accepting new patients
Green Mountain Psychology, PLLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

4950 NE Belknap Ct
Ste 205
Hillsboro, OR 97124
Phone (503) 560-5822

2003 D St
Ste 100
Bellingham, WA 98225
Phone (360) 262-1160

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1386260883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 D ST STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 D ST STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253204",
            "telephone_number": "360-935-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "JORDAN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWIA.SC.70041662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.