Nicole Courtney Jordan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023788 Issued in IL

Practice address

1100 Jorie Blvd Ste 234
Oak Brook, IL 60523-4418

Phone

(630) 423-7706

Fax

(630) 423-7869

NPI assigned

Oct 5, 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 IL

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Calm Skies Therapy PLLC

  • Clinical Social Worker
  • Oak Brook, IL
  • NPI 1851110761
  Medicare reassignment NPD Authorized official
• Counseling Works

  • Professional Counselor
  • Naperville, IL
  • NPI 1477847945
  Medicare reassignment NPD

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1821760067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 234",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234418",
            "telephone_number": "630-423-7706",
            "fax_number": "630-423-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 234",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234418",
            "telephone_number": "630-423-7706",
            "fax_number": "630-423-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "NICOLE",
        "middle_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaynna Jones, RBT
• Camiria Jones, PHD
• Geoffrey Leroy Jones, M.D.
• Jacqueline Jones
• Kierra Jones, RBT
• Ron Jordan, LCSW
• Adrian George Jova, D.O.
• Javeria Junaidi
• Dylan C Jurcik, DPT
• Kinga Kalucki, APRN, FNP-BC

• Clinical Social Worker in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.