Lidia U. Jordan, CASAC-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

21384 Issued in NY

Practice address

344 Fulton Ave
Hempstead, NY 11550-3923

Phone

(516) 538-2613

Fax

(516) 538-0772

NPI assigned

Sep 23, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1396079497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S BROOKSIDE AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204140",
            "telephone_number": "516-538-2613",
            "fax_number": "516-538-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503923",
            "telephone_number": "516-538-2613",
            "fax_number": "516-538-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LIDIA",
        "middle_name": "U.",
        "name_prefix": "Ms.",
        "credential": "CASAC-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "21384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Jamie Johnson, PA-C
• David Scott Johnson, LMSW
• Ebony Johnson, LMSW
• Rasheeda Johnson
• Judith Ladguene Jones, ANP
• Cheniqua Jose
• Janine Joseph
• Marjorie Joseph, REGISTERED NURSE
• Maria Isabel Junior, LCSW
• Bradley Mark Kahn, DDS

• Addiction (Substance Use Disorder) Counselor in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.