Individual provider Active NPI

Jeffrey Lee Jordy, LCSW

  • Clinical Social Worker
  • Lamy, NM
National Provider Identifier
1891440475
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-12097 Issued in NM
Practice address
25A Lime Kiln Rd
Lamy, NM 87540-9657
Phone
(505) 585-1113
NPI assigned
Feb 13, 2022
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904019267 VA
Clinical Social Worker 1041C0700X 137520 CA
Clinical Social Worker 1041C0700X LC25356 ME
Clinical Social Worker 1041C0700X C-12097 NM Primary
Clinical Social Worker 1041C0700X CW021943 PA

Addresses

Primary practice location

25A Lime Kiln Rd
Lamy, NM 87540-9657

Mailing address

25A Lime Kiln Rd
Lamy, NM 87540-9657
Phone (505) 585-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
137520CAMDClinical Social Worker
LC25356MEMDClinical Social Worker
C-12097NMMDClinical Social Worker
CW021943PAMDClinical Social Worker
0904019267VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1891440475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25A LIME KILN RD",
            "city": "LAMY",
            "state": "NM",
            "postal_code": "875409657",
            "telephone_number": "505-585-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25A LIME KILN RD",
            "city": "LAMY",
            "state": "NM",
            "postal_code": "875409657",
            "telephone_number": "505-585-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDY",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-13",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019267",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "137520",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC25356",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-12097",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamy, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.