Judith Jordan, LCSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

077715-1 Issued in NY

Practice address

9 N Main St
#8
East Hampton, NY 11937-2632

Phone

(917) 825-4905

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1831572072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1696",
            "city": "AMAGANSETT",
            "state": "NY",
            "postal_code": "119301696",
            "telephone_number": "917-825-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N MAIN ST",
            "address_2": "#8",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372632",
            "telephone_number": "917-825-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JUDITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "077715-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Howard, LCSW
• Barbara Hulsart, PHD
• Meredith Ann Jacobs, OTD, OTR/L
• Cristina Jimenez, MSW, MA
• Edward Jones, LP
• Allison Karlin, OTR/L
• Alan Katz, D.D.S.
• Marisa Katz, MA, PD
• John Charles Kavanaugh, D.C.
• Nancy Patricia Keegan

• Addiction (Substance Use Disorder) Counselor in East Hampton, NY
• Providers in East Hampton, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.