Illana Cathleen Jordan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015448 Issued in IL

Practice address

6149 N Claremont Ave
2N
Chicago, IL 60659-5260

Phone

(773) 930-8681

NPI assigned

Sep 24, 2008

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

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.

Opted out of Medicare

Yes, effective Nov 30, 2016 through Nov 30, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1871743021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 N CLAREMONT AVE",
            "address_2": "2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595260",
            "telephone_number": "773-930-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6149 N CLAREMONT AVE",
            "address_2": "2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595260",
            "telephone_number": "773-930-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ILLANA",
        "middle_name": "CATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Hwang Jordan, L.AC., DIPL.AC.,MSOM
• Corinne Jordan, DPT
• Delaura A Jordan
• Dorene Yvonne Jordan, F.N.P.
• E. Hilary Jordan, MA, LCSW
• Irma L Jordan, DNP, FNP/PMHNP-BC
• Jasmine M Jordan
• Kayla Jordan, MA, CCC-SLP
• Kelsey Genine Jordan
• Lilly Claire Jordan, MD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Apr 23, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.