Active NPI
Barbara W Jordan, L.C.S.W.
- Clinical Social Worker
- Winter Park, FL
National Provider Identifier
1467568626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 3499
- Practice address
- 1850 Lee Rd
Suite 305
Winter Park, FL 32789-2115 - Phone
- (407) 975-0416
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 3499 | FL | Primary |
Addresses
Primary practice location
1850 Lee Rd
Suite 305
Winter Park, FL 32789-2115
Mailing address
1173 Washington Ave
Winter Park, FL 32789-5656
Phone (407) 647-4656
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6278099 | Other | UNITED HEALTH CARE | |
| 7893089 | Other | AETNA | |
| Z7669 | Other | FL | BLUE CROSS BLUE SHIELD |
| A349345 | Other | VALUEOPTIONS, INC. | |
| 2034311 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 3499 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467568626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1173 WASHINGTON AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327895656",
"telephone_number": "407-647-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 LEE RD",
"address_2": "SUITE 305",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892115",
"telephone_number": "407-975-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "BARBARA",
"middle_name": "W",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 3499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "6278099",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7893089",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z7669",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS, INC.",
"identifier": "A349345",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2034311",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.