Jordan Elizabeth Hendricks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6968-C Issued in NV

Practice address

5715 W Alexander Rd Ste 115
Las Vegas, NV 89130-2815

Phone

(949) 529-4950

NPI assigned

Feb 21, 2013

Sex

Female

Sole proprietor

Yes

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.

• Theravada Mental Health LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1114414109

  Clinical, NV

  Medicare reassignment Care Compare group NPD
• Neubauer Mental Health Services, Apc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1316273832

  Clinical, NV

  Medicare reassignment NPD
• Clinical Therapies, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1528692829
  NPD Authorized official
• Specialized Alternatives for Families and Youth of Nevada, Inc.

  • Foster Care Agency
  • Las Vegas, NV
  • NPI 1841883386
  NPD

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Theravada Mental Health LLC 15 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Jordan Harper Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2020.

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1801136247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 W ALEXANDER RD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302815",
            "telephone_number": "949-529-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 W ALEXANDER RD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302815",
            "telephone_number": "949-529-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "JORDAN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6968-C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "5564-S",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "HARPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Hendricks
• Christen Dawn Hendricks, M.S.
• Elizabeth Hendricks
• Eurene Hendricks
• Jacqueline Hendricks
• Katelyn Hendricks, DMD
• Sydney Hendricks, N.P.
• Tim Hendricks
• Jonna Hendrickson Thomas
• Emily Alice Hendrickson

• All providers in Las Vegas, NV
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.