Active NPIIndividual providerSole proprietor

Mary A Jordan, LCSW

Social Worker, Clinical in Pelham, New York

NPI Number1417126350
Practice location
4 Pell Place, Pelham, NY 10803-1310
Fax
—
Last updated
October 4, 2026

Mary A Jordan is a Social Worker, Clinical based in Pelham, NY. Mary A Jordan practices in Pelham, NY and has the professional credentials of LCSW. The NPI Number for Mary A Jordan is 1417126350 and holds a License No. R0349001 (NY). The current practice location address for Mary A Jordan is 4 Pell Place, Pelham, NY 10803-1310 and can be reached out via phone at 914-738-8419.

Provider Profile Details

NPI Number
1417126350
Provider Name
Mary A Jordan
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
4 Pell Place, Pelham, NY 10803-1310
Phone Number
914-738-8419
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 25, 2008
Last Update Date
October 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Pell Place
Pelham, NY 10803-1310
City
Pelham
Zip
10803-1310
Phone Number
914-738-8419
Pelham, NY 10803Get directions →

Provider Business Mailing Address Details

Address
4 Pell Place
Pelham, NY 10803-1310
City
Pelham
State
NY
Zip
10803-1310
Phone Number
914-738-1987

License Information

License Number
R0349001
License State
NY
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 Mary A Jordan, LCSW?

The NPI number of Mary A Jordan, LCSW is 1417126350. It was assigned on February 25, 2008 and is currently active in the NPPES registry.

What is the specialty of Mary A Jordan, LCSW?

Mary A Jordan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number R0349001.

Where does Mary A Jordan, LCSW practice?

The practice location is 4 Pell Place, Pelham, NY 10803-1310. The office can be reached at 914-738-8419 (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 1417126350 directly on the NPPES registry website.

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