Active NPI
Nancy Mary Jordan, MSW
- Clinical Social Worker
- Bellevue, WA
National Provider Identifier
1639204381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00005370
- Practice address
- 1621 114TH Ave SE Ste 221
Bellevue, WA 98004-6905 - Phone
- (425) 453-8708
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | LW00005370 | WA | Primary |
Addresses
Primary practice location
1621 114TH Ave SE Ste 221
Bellevue, WA 98004-6905
Mailing address
2729 95TH Ave NE
Clyde Hill, WA 98004-1718
Phone (425) 688-1643
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00005370 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639204381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2729 95TH AVE NE",
"city": "CLYDE HILL",
"state": "WA",
"postal_code": "980041718",
"telephone_number": "425-688-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 114TH AVE SE STE 221",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046905",
"telephone_number": "425-453-8708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "NANCY",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00005370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
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.