Individual provider Active NPI

Elise Lynne Jordan, MSW

  • Clinical Social Worker
  • Newport, OR
National Provider Identifier
1467092833
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11440 Issued in OR
Practice address
51 SW Lee St
Newport, OR 97365-3823
Phone
(541) 574-5960
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X L11440 OR Primary

Addresses

Primary practice location

51 SW Lee St
Newport, OR 97365-3823

Mailing address

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-0445

Other practice location 1

209 SW 2nd St
Newport, OR 97365
Phone (541) 265-4179

Other practice location 2

4422 NE Devils Lake Blvd Ste 2
Lincoln City, OR 97367-5000
Phone (541) 265-4947

Other identifiers 1

IdentifierTypeStateIssuer
500775573MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230821000623 OR Practitioner - Clinical Social Worker 1052773215 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
County of Lincoln 28 clinicians

Practice addresses (Care Compare)

51 SW Lee St
Newport, OR 97365-3823
Phone (541) 574-5960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lincoln CurrentSince Jun 23, 2023 Accepting new patients
County of Lincoln Case Manager/Care Coordinator Current Accepting new patients
County of Lincoln CurrentSince Jun 23, 2023 Accepting new patients
Inactive - County of Lincoln Past Accepting new patients

Locations

4422 NE Devils Lake Blvd
Ste 2
Lincoln City, OR 97367
Phone (541) 265-4196

51 SW Lee St
Newport, OR 97365
Phone (541) 265-0445

36 SW Nye St
Newport, OR 97365
Phone (541) 265-0445

Organizations & group practices 6

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1467092833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SW NYE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653821",
            "telephone_number": "541-265-0445",
            "fax_number": "844-760-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SW LEE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653823",
            "telephone_number": "541-574-5960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 SW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "97365",
            "country_code": "US",
            "telephone_number": "541-265-4179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4422 NE Devils Lake Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973675000",
            "country_code": "US",
            "telephone_number": "541-265-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ELISE",
        "middle_name": "LYNNE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500775573",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.