Individual provider Active NPI

Jordan Alexis Stamps

  • Clinical Social Worker
  • Norwalk, CA
National Provider Identifier
1861984650
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111086 Issued in CA
Practice address
12440 Imperial Hwy
Norwalk, CA 90650-3177
Phone
(310) 867-0671
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW89234 CA
Social Worker 104100000X 89234
Clinical Social Worker 1041C0700X
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 111086 CA Primary

Addresses

Primary practice location

12440 Imperial Hwy
Norwalk, CA 90650-3177

Mailing address

13618 Behrens Ave
Norwalk, CA 90650-3579
Phone (310) 867-0671

Other practice location 1

1000 W Carson St # 498
Torrance, CA 90502-2004
Phone (310) 222-3151

Other practice location 2

2101 Magnolia Ave
Long Beach, CA 90806
Phone (562) 218-1868 ext. 6141

Other identifiers 1

IdentifierTypeStateIssuer
DLU7908162DOtherANTHEM BLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstamps@dmh.lacounty.gov

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20230803003172 CA Practitioner - Clinical Social Worker 4486015658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW89234CAMDMental Health Counselor
111086CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jun 26, 2023 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jun 26, 2023 Accepting new patients

Locations

1720 E 120th St
Los Angeles, CA 90059
Phone (310) 668-4272

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

1000 W Carson St
#498
Torrance, CA 90502
Phone (310) 222-3151

3741 Stocker St
Ste 200
View Park, CA 90008
Phone (323) 290-5800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1861984650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13618 BEHRENS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503579",
            "telephone_number": "310-867-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 IMPERIAL HWY",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503177",
            "telephone_number": "310-867-0671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St # 498",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90806",
            "country_code": "US",
            "telephone_number": "562-218-1868 x6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMPS",
        "first_name": "JORDAN",
        "middle_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW89234",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "89234",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "111086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "DLU7908162D",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstamps@dmh.lacounty.gov",
            "affiliation": "N",
            "address_1": "12440 Imperial Hwy",
            "city": "Norwalk",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906503177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.