Michael A Jordan, LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12789 Issued in MD

Practice address

10015 Old Columbia Rd
Columbia, MD 21046-1703

Phone

(410) 551-2455

Fax

(866) 422-6096

NPI assigned

Mar 15, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Compass Mental Health Consultants, LLC

  • Psychologist
  • Columbia, MD
  • NPI 1497020333

  Social Worker

  NPD (past)
• Compass Mental Health Consultants, LLC

  • Clinical Social Worker
  • Rockville, MD
  • NPI 1861852907
  NPD (past)

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1871868356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 SEA PINE CIR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441815",
            "telephone_number": "410-551-2455",
            "fax_number": "866-422-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 OLD COLUMBIA RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461703",
            "telephone_number": "410-551-2455",
            "fax_number": "866-422-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "12789",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC50078552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babak Joobbani, DDS
• Capri Joppy
• Amanda Lee Jordan, RN, BSN
• Devernae Kayla Jordan
• Gina Michele Jordan, COTA/L
• Rachel V Jordan, PHD, ATC, LAT, NASM
• Shay Ayn Jordan, RN
• Tykeyha Jordan
• Sanju P. Jose, D.D.S., M.D.S.
• Alicia L Joseph Baker, LCSW-C

• Social Worker in Columbia, MD
• Providers in Columbia, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.