Active NPIIndividual provider

Jennifer Jordan, LCSW, LICSW

Social Worker, Clinical in Bethel, Maine

NPI Number1134687890
Practice location
81 Dragon Fly Dr, Bethel, ME 04217-3064
Fax
—
Last updated
July 15, 2026

Jennifer Jordan is a Social Worker, Clinical based in Bethel, ME. Jennifer Jordan practices in Bethel, ME and has the professional credentials of LCSW, LICSW. The NPI Number for Jennifer Jordan is 1134687890 and holds a License No. LC21402 (ME). The current practice location address for Jennifer Jordan is 81 Dragon Fly Dr, Bethel, ME 04217-3064 and can be reached out via phone at 508-409-5925.

Provider Profile Details

NPI Number
1134687890
Provider Name
Jennifer Jordan
Credential
LCSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
81 Dragon Fly Dr, Bethel, ME 04217-3064
Phone Number
508-409-5925
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 12, 2019
Last Update Date
July 15, 2026
Certification Date
July 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
81 Dragon Fly Dr
Bethel, ME 04217-3064
City
Bethel
State
Maine
Zip
04217-3064
Phone Number
508-409-5925
Bethel, ME 04217Get directions →

Provider Business Mailing Address Details

Address
81 Dragon Fly Dr
Bethel, ME 04217-3064
City
Bethel
State
ME
Zip
04217-3064
Phone Number
508-409-5925

License Information

License Number (1)
LC21402
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
LICSW126330
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Jennifer Jordan, LCSW, LICSW?

The NPI number of Jennifer Jordan, LCSW, LICSW is 1134687890. It was assigned on March 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Jennifer Jordan, LCSW, LICSW?

Jennifer Jordan, LCSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC21402.

Where does Jennifer Jordan, LCSW, LICSW practice?

The practice location is 81 Dragon Fly Dr, Bethel, ME 04217-3064. The office can be reached at 508-409-5925 (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 1134687890 directly on the NPPES registry website.

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