Individual provider Active NPI

Jorden Reid, LMSW, ADHD-CCSP

  • Social Worker
  • Mount Clemens, MI
National Provider Identifier
1982128286
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801113587 Issued in MI
Practice address
75 N Main St Ste 300
Mount Clemens, MI 48043-5643
Phone
(586) 460-9075
NPI assigned
Jul 28, 2017
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801113587 MI Primary

Addresses

Primary practice location

75 N Main St Ste 300
Mount Clemens, MI 48043-5643

Mailing address

75 N Main St Ste 300
Mount Clemens, MI 48043-5643
Phone (586) 460-9075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211221000817 MI Practitioner - Clinical Social Worker 9133510415 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Butterfly Effect Counseling, PLLC Current Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Mar 22, 2022 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 422-1430

22600 Hall Rd
Ste 201
Clinton Twp, MI 48036
Phone (586) 496-4503

42 W Warren Ave
Detroit, MI 48201
Phone (313) 577-2424

75 N Main St
Ste 300
Mount Clemens, MI 48043
Phone (586) 460-9075

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1982128286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N MAIN ST STE 300",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435643",
            "telephone_number": "586-460-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N MAIN ST STE 300",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435643",
            "telephone_number": "586-460-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JORDEN",
        "name_prefix": "Mrs.",
        "credential": "LMSW, ADHD-CCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801113587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.