Individual provider Active NPI

Joyce Pope Jordan, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1932227170
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000382 Issued in NC
Practice address
280 W Millbrook Rd
Raleigh, NC 27609-4304
Phone
(919) 872-1407
Fax
(919) 870-8917
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C000382 NC Primary

Addresses

Primary practice location

280 W Millbrook Rd
Raleigh, NC 27609-4304

Mailing address

280 W Millbrook Rd
Raleigh, NC 27609-4304
Phone (919) 872-1407

Other identifiers 3

IdentifierTypeStateIssuer
47446OtherNCPROVIDER NUMBER NCBCBS
131109OtherNCPROVIDER NUMBER VBH
221969OtherNCPROVIDER NUMBER COMPSYCH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1932227170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094304",
            "telephone_number": "919-872-1407",
            "fax_number": "919-870-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094304",
            "telephone_number": "919-872-1407",
            "fax_number": "919-870-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JOYCE",
        "middle_name": "POPE",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER NCBCBS",
            "identifier": "47446",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER  VBH",
            "identifier": "131109",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER COMPSYCH",
            "identifier": "221969",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.