Active NPIIndividual provider

Jessica Jordan

Social Worker, Clinical in Teaticket, Massachusetts

NPI Number1063140440
Practice location
143 Brick Kiln RD, Teaticket, MA 02536-5708
Fax
—
Last updated
August 12, 2022

Jessica Jordan is a Social Worker, Clinical based in Teaticket, MA. Jessica Jordan practices in Teaticket, MA. The NPI Number for Jessica Jordan is 1063140440 and holds a License No. 225663 (MA). The current practice location address for Jessica Jordan is 143 Brick Kiln RD, Teaticket, MA 02536-5708 and can be reached out via phone at 203-675-0961.

Provider Profile Details

NPI Number
1063140440
Provider Name
Jessica Jordan
Provider Entity Type
Individual
Gender
Female
Address
143 Brick Kiln RD, Teaticket, MA 02536-5708
Phone Number
203-675-0961
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2022
Last Update Date
August 12, 2022
Certification Date
August 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
143 Brick Kiln RD
Teaticket, MA 02536-5708
Zip
02536-5708
Phone Number
203-675-0961
Teaticket, MA 02536Get directions →

Provider Business Mailing Address Details

Address
143 Brick Kiln RD
Teaticket, MA 02536-5708
City
Teaticket
State
MA
Zip
02536-5708

License Information

License Number
225663
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Jordan?

The NPI number of Jessica Jordan is 1063140440. It was assigned on August 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Jessica Jordan?

Jessica Jordan is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 225663.

Where does Jessica Jordan practice?

The practice location is 143 Brick Kiln RD, Teaticket, MA 02536-5708. The office can be reached at 203-675-0961 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063140440 directly on the NPPES registry website.

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