Colleen Faye Parris Jordon, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14301 Issued in MD

Practice address

740 Light St
Baltimore, MD 21230-3850

Phone

(443) 557-8725

Fax

(410) 344-4975

NPI assigned

Jan 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Case Western University School of Dental Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inspiration WellnessGroup PAC ID 5294268116, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inspiration Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Annapolis, MD
  • NPI 1225756174

  Clinical

  Medicare reassignment Care Compare group NPD
• A Mindful Life LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1821702879
  NPD

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1801487194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 OLD HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141712",
            "telephone_number": "443-557-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 LIGHT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303850",
            "telephone_number": "443-557-8725",
            "fax_number": "410-344-4975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1997 Annapolis Exchange Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013273",
            "country_code": "US",
            "telephone_number": "410-635-1184",
            "fax_number": "410-630-8087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRIS JORDON",
        "first_name": "COLLEEN",
        "middle_name": "FAYE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Parr, M.D.
• Jay Neil Parran, M.D.
• Nicole Parrau, CRNP
• Parrey, Inc.
• Christopher Parrino, MD
• Tanesha Parrish Heard, DO
• Carroll Parrish
• Susan E Parrish, RN
• Willette Parrish, LCSW-C
• Chanelle Parrote

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.