Active NPI
Jessica Jordan
- Social Worker
- Plymouth, MA
National Provider Identifier
1386893626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119650
- Practice address
- 275 Sandwich St
Plymouth, MA 02360 - Phone
- (508) 746-2000
- NPI assigned
- Sep 11, 2008
- Last updated
- Aug 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 119650 | MA | Primary |
Addresses
Primary practice location
275 Sandwich St
Plymouth, MA 02360
Mailing address
275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 119650 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533340800000",
"number": "1386893626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SANDWICH ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602183",
"telephone_number": "508-746-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 SANDWICH ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "02360",
"telephone_number": "508-746-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2018-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "119650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
- Jennifer Michelle Jope, MA
- Jordan Physician Associates, Inc. (BIDH-Plymouth Radiology)
- Jordan Physician Associates, Inc. (BIDH-Plymouth Pathology)
- Jordan Physician Associates, Inc.
- Jordan Physician Associates, Inc. (BIDH-Plymouth Anesthesia)
- Amy Jorud, LICSW
- Chrystal Joseph
- Marc Josma
- Jonathan Joyce, D.P.T.
- Michelle Joyce, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.