Jeffrey Lee Jordy, LCSW
Individual provider Active NPI Clinical Social Worker · Lamy, NM
NPI 1891440475 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1891440475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C-12097 (NM)
- Practice address
- 25A Lime Kiln Rd
Lamy, NM 87540-9657 - Phone
- (505) 585-1113
- NPI assigned
- Feb 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-12097 | NM | MD | Mental Health Counselor |
| CW021943 | PA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
| 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
Other providers in Lamy, NM
- Liz Cervio
- Daniel Healey Dba
- Amy Elizabeth Elmquist
- Nancy McManus Miller
- Devon Grace Ann Moore
- Elizabeth NA Prothro
- Strong Institute, Inc.
- Lila Webb
All providers in Lamy, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.