Individual provider Active NPI

Jennifer R. Ordonez, LCSW

  • Clinical Social Worker
  • Castle Hayne, NC
National Provider Identifier
1720269665
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005864 Issued in NC
Practice address
5000 Lambs Path Way
Castle Hayne, NC 28429-6311
Phone
(910) 675-3533
Fax
(910) 675-3405
NPI assigned
Nov 20, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 C005864 NC Primary

Addresses

Primary practice location

5000 Lambs Path Way
Castle Hayne, NC 28429-6311

Mailing address

PO Box 10399
Wilmington, NC 28404-0399
Phone (910) 675-3533

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
C005864NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yahweh Center Children's Village 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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1720269665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10399",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284040399",
            "telephone_number": "910-675-3533",
            "fax_number": "910-675-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LAMBS PATH WAY",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296311",
            "telephone_number": "910-675-3533",
            "fax_number": "910-675-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDONEZ",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Hayne, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.