Jacqueline M Jordan LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JACQUELINE M JORDAN LLC

Practice address

1117 N Jackson St
Bloomington, IN 47404-3385

Phone

(812) 361-8568

Fax

(812) 339-4436

NPI assigned

Jun 23, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Marie Jordan, LCSW

Title

Therapist

Phone

(812) 361-8568

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1952237232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N JACKSON ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043385",
            "telephone_number": "812-361-8568",
            "fax_number": "812-339-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N JACKSON ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043385",
            "telephone_number": "812-361-8568",
            "fax_number": "812-339-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE M JORDAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "812-361-8568",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherish Hope Jacobs-Tuttle
• Ashton Jacobs, FNP-C
• Dinah F Jacobs, DPT
• Steven Eugene Jacobs, PA-C
• Tina Lynne Jacobs, NP
• Samantha Nichole Jahnke, OD
• Manish Jain, MD
• Pravi Jain, RBT
• Sanya Jaiswal
• Nicole Jakubowicz, PT, DPT

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.