Individual provider Active NPI

Jordan Zachary Suits, LCSWA

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1669263893
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021940 Issued in NC
Practice address
7649 Market St Unit 202
Wilmington, NC 28411-9458
Phone
(910) 981-1760
Fax
(910) 463-5495
NPI assigned
May 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P021940 NC Primary

Addresses

Primary practice location

7649 Market St Unit 202
Wilmington, NC 28411-9458

Mailing address

7649 Market St Unit 202
Wilmington, NC 28411-9458
Phone (910) 981-1760

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

LicenseStateTypeSpecialty
P021940NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1669263893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7649 MARKET ST UNIT 202",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119458",
            "telephone_number": "910-981-1760",
            "fax_number": "910-463-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7649 MARKET ST UNIT 202",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119458",
            "telephone_number": "910-981-1760",
            "fax_number": "910-463-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUITS",
        "first_name": "JORDAN",
        "middle_name": "ZACHARY",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.