Jordan Shumway

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

67958 Issued in TX

Practice address

1821 Westinghouse Rd Ste 1150
Georgetown, TX 78626-7645

Phone

(512) 763-2186

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sickle Cell Texas Marc Thomas Foundation

  • Case Management Agency
  • Austin, TX
  • NPI 1538678123
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1447806385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WESTINGHOUSE RD STE 1150",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267645",
            "telephone_number": "512-763-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WESTINGHOUSE RD STE 1150",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267645",
            "telephone_number": "512-763-2186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 Town Center Dr Apt 3947",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786607306",
            "country_code": "US",
            "telephone_number": "903-603-0246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "67958",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shine Through Strength Physical Therapy LLC
• Shizen Chiropractic and Acupuncture Clinic
• Olivia Shook, PTA
• Roanne Shoubaki
• Samantha Joy Shroba, BCBA
• Asmath Siddiqui, MOT, OTR
• Eleno Sigarroa Silva
• Megan Lynne Silker, MSN, CPNP
• Carla Simard, PHARMD
• Dana Lee Simmang, M.D.

• Clinical Social Worker in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.