Jada Jordan-Dasilva, LMSW

Individual provider Active NPI Clinical Social Worker · Joppa, MD

NPI 1417828245 · NPPES record last updated Sep 15, 2025

Key facts

NPI
1417828245
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
33212 (MD)
Practice address
626 Towne Center Dr
Joppa, MD 21085-4446
Phone
(443) 313-3240
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
33212MDMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 33212 MD Yes

Addresses

Primary practice location

626 Towne Center Dr
Joppa, MD 21085-4446

Mailing address

626 Towne Center Dr
Joppa, MD 21085-4446
Phone (443) 313-3240

Other providers in Joppa, MD

All providers in Joppa, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.