Active NPI
Charlo Jordan
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1477978096
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149014413
- Practice address
- 8008 S Ridgeland Ave # 2B
Chicago, IL 60617-1008 - Phone
- (773) 510-2812
- NPI assigned
- Feb 19, 2014
- Last updated
- Apr 29, 2016
- Sex
- Male
- 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 | 149014413 | IL | Primary |
Addresses
Primary practice location
8008 S Ridgeland Ave # 2B
Chicago, IL 60617-1008
Mailing address
8008 S Ridgeland Ave # 2B
Chicago, IL 60617-1008
Phone (773) 510-2812
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149014413 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meier Clinics of Illinois, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1477978096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8008 S RIDGELAND AVE # 2B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606171008",
"telephone_number": "773-510-2812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8008 S RIDGELAND AVE # 2B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606171008",
"telephone_number": "773-510-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "CHARLO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-19",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.