Individual provider Active NPI

Cailyn J Jordan, LCSW

  • Clinical Social Worker
  • Daphne, AL
National Provider Identifier
1447957485
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5888C Issued in AL
Practice address
7101 US Highway 90
Daphne, AL 36526-9512
Phone
(256) 701-5651
Fax
(256) 429-9411
NPI assigned
Feb 9, 2023
Reactivated
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5888C AL Primary
Clinical Social Worker 1041C0700X C11826 MS

Addresses

Primary practice location

7101 US Highway 90
Daphne, AL 36526-9512

Mailing address

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333

Other practice location 1

2740 Pass Rd
Biloxi, MS 39531-2626
Phone (256) 701-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250219002233 AL Practitioner - Clinical Social Worker 5395265474 Reassigns benefits to 2 organizations
I20260101000308 MS Practitioner - Clinical Social Worker 5395265474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

1430 Gadsden Hwy
Suite 116 917
Birmingham, AL 35235-3103
Phone (415) 360-3348

2740 Pass Rd
Biloxi, MS 39531-2626
Phone (256) 288-3333

7101 US Hwy 90
Suite 103
Daphne, AL 36526-9510
Phone (251) 517-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C11826MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health, Inc. Social Worker CurrentSince May 29, 2025 Accepting new patients
Iop Behavioral Health, LLC CurrentSince Dec 12, 2025 Accepting new patients
Brightside Health, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Iop Behavioral Health, LLC PastSince May 29, 2025 Accepting new patients

Locations

1430 Gadsden Hwy
Ste 116917
Birmingham, AL 35235
Phone (208) 623-9050

7101 US Highway 90
Ste 103
Daphne, AL 36526
Phone (251) 517-5800

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

2740 Pass Rd
Biloxi, MS 39531
Phone (228) 276-1860

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

Organizations & group practices 4

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": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1447957485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-288-3333",
            "fax_number": "256-288-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 US HIGHWAY 90",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269512",
            "telephone_number": "256-701-5651",
            "fax_number": "256-429-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 Pass Rd",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395312626",
            "country_code": "US",
            "telephone_number": "256-701-5651",
            "fax_number": "256-429-9411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CAILYN",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "deactivation_date": "2024-08-16",
        "reactivation_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5888C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.