Individual provider Active NPI

Juliana Jordan, LMSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1407421746
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
112122 Issued in NY
Practice address
1 Fordham PLZ RM 908
Bronx, NY 10458-5890
Phone
(718) 365-4044
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 112122 NY Primary

Addresses

Primary practice location

1 Fordham PLZ RM 908
Bronx, NY 10458-5890

Mailing address

1 Fordham PLZ RM 908
Bronx, NY 10458-5890
Phone (347) 218-1754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

247 W 37TH St
FL 9
New York, NY 10018-5193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112122NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Association for Services for the Aged CurrentSince Sep 28, 2021 Accepting new patients
Jewish Association for Services for the Aged CurrentSince Sep 28, 2021 Accepting new patients

Locations

1 Fordham Plz
Rm 908
Bronx, NY 10458

2049 Bartow Ave
Bronx, NY 10475
Phone (929) 399-1397

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1407421746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORDHAM PLZ RM 908",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585890",
            "telephone_number": "347-218-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORDHAM PLZ RM 908",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585890",
            "telephone_number": "718-365-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JULIANA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "112122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.