Marie Endy Jordan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003031 Issued in NC

Practice address

436 State St
Marion, NC 28752-4029

Phone

(828) 442-5015

Fax

(828) 665-4354

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Peaceful Personal Growth Program Inc.

  • Clinical Social Worker
  • Marion, NC
  • NPI 1518083880
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467578740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2855",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287520228",
            "telephone_number": "828-442-5015",
            "fax_number": "828-665-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 STATE ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524029",
            "telephone_number": "828-442-5015",
            "fax_number": "828-665-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARIE",
        "middle_name": "ENDY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "003031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002204",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUM.",
            "identifier": "130WU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Frank Johanson, PA-C
• Andrew N Johnson, DPT
• Kim Sylvia Johnson, NP
• Amy V Jolly, LCMHC
• Karoline Pittman Jones, PT, DPT
• Julia Caldwell Joyner, FNP
• Just Move Rehabilitation Incorporation
• Yolande Karsten
• Keith C Damico PA C Professional Association
• Keith C Damico Pac Professional Association

• Clinical Social Worker in Marion, NC
• Providers in Marion, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.