Sharon Mae Jordan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC4431 Issued in ME

Practice address

157 Park St Ste 5
Bangor, ME 04401-5000

Phone

(207) 992-0411

Fax

(207) 907-2048

NPI assigned

Oct 25, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Wabanaki Public Health and Wellness

  • Addiction (Substance Use Disorder) Psychologist
  • Bangor, ME
  • NPI 1689335184
  NPD (past) Authorized official
• Passamaquoddy Tribal Council

  • Federally Qualified Health Center (FQHC)
  • Pleasant Point, ME
  • NPI 1760474613
  NPD (past)
• Protea Behavioral Health Services

  • Public Health or Welfare Agency
  • Bangor, ME
  • NPI 1700814712
  NPD (past)
• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1598849671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PARK ST STE 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015000",
            "telephone_number": "207-992-0411",
            "fax_number": "207-907-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARK ST STE 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015000",
            "telephone_number": "207-992-0411",
            "fax_number": "207-907-2048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 State St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044015038",
            "country_code": "US",
            "telephone_number": "207-992-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHARON",
        "middle_name": "MAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215102850",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherry M Jordan, LADC, CCS, MHRT/C
• Eben A Jordan, PAC
• Jeffrey Jay Jordan, MD
• Maureen Jordan, LPN
• Michael Richard Jordan
• Joseph L Benoit M D P a
• Joseph M. Constantine
• Dharmesh Joshi, PHARMD
• Julie Anne M Joy, MSW
• Sandra Joy, LADC

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.