Individual provider Active NPI

Jordan Mary Jenkins, MSW, LCSW, OSW-C

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1700535945
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3387 Issued in SD
Practice address
3508 S Minnesota Ave Ste 100
Sioux Falls, SD 57105-6455
Phone
(605) 524-8910
Fax
(605) 309-7851
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3387 SD Primary

Addresses

Primary practice location

3508 S Minnesota Ave Ste 100
Sioux Falls, SD 57105-6455

Mailing address

3508 S Minnesota Ave Ste 100
Sioux Falls, SD 57105-6455
Phone (605) 524-8910

Other practice location 1

108 E 38th St Ste 700
Sioux Falls, SD 57105-5814
Phone (605) 359-1385

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
3387SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Point Clinical Current Accepting new patients

Locations

108 E 38th St
Ste 700
Sioux Falls, SD 57105
Phone (605) 231-9308

3508 S Minnesota Ave
Ste 100
Sioux Falls, SD 57105
Phone (605) 524-8910

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1700535945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 S MINNESOTA AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056455",
            "telephone_number": "605-524-8910",
            "fax_number": "605-309-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 S MINNESOTA AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056455",
            "telephone_number": "605-524-8910",
            "fax_number": "605-309-7851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 E 38th St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571055814",
            "country_code": "US",
            "telephone_number": "605-359-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JORDAN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, OSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "3387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.