Jordan Ferrari Crandal, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06199 Issued in KS

Practice address

590 Medical Center Road
Fort Cavazos, TX 76544

Phone

(254) 288-8000

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jordan Sharmaine Ferrari Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Courser Lapo E LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manhattan, KS
  • NPI 1104664382

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1831792159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12062 SGT QUINN CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799083250",
            "telephone_number": "334-412-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER ROAD",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-288-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Southwind Pl",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665033123",
            "country_code": "US",
            "telephone_number": "785-560-3101",
            "fax_number": "785-527-8317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANDAL",
        "first_name": "JORDAN",
        "middle_name": "FERRARI",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11642",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "FERRARI",
            "middle_name": "SHARMAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Patrice Coop, LCSW
• Alexandra Marie Corns, MD
• Nestor Jose Correa
• Eliana Rocio Craaybeek, LPC
• Lynda Colleen Crafton, LCSW
• Andrea Creary
• Elizabeth Anne Crow, PHARMD, RPH, BCGP
• Fernando Cuadrado-Rivera, COTA/L
• Shamale Latrice Dancy, LCSW-S
• David Ayala Dantes, DDS

• Clinical Social Worker in Fort Cavazos, TX
• Providers in Fort Cavazos, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.