Active NPIIndividual provider

Roberta E Jordan

Social Worker, Clinical in West Yarmouth, Massachusetts

NPI Number1962986869
Practice location
579 Buck Island RD, West Yarmouth, MA 02673-3200
Fax
508-790-8116
Last updated
September 18, 2018

Roberta Ellen Jordan is a Social Worker, Clinical based in West Yarmouth, MA. Roberta Ellen Jordan practices in West Yarmouth, MA. The NPI Number for Roberta Ellen Jordan is 1962986869 and holds a License No. 118300 (MA). The current practice location address for Roberta Ellen Jordan is 579 Buck Island RD, West Yarmouth, MA 02673-3200 and can be reached out via phone at 508-957-7007 and via fax at 508-790-8116.

Provider Profile Details

NPI Number
1962986869
Provider Name
Roberta Ellen Jordan
Provider Entity Type
Individual
Gender
Female
Address
579 Buck Island RD, West Yarmouth, MA 02673-3200
Phone Number
508-957-7007
Fax Number
508-790-8116
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 18, 2018
Last Update Date
September 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
579 Buck Island RD
West Yarmouth, MA 02673-3200
Zip
02673-3200
Phone Number
508-957-7007
Fax Number
508-790-8116
West Yarmouth, MA 02673Get directions →

Provider Business Mailing Address Details

Address
Maplewood Mayflower Place SNF, LLC
579 Buck Island Road
West Yarmouth, MA 02673
City
West Yarmouth
State
MA
Zip
02673
Phone Number
508-957-7007
Fax Number
508-790-8116

License Information

License Number
118300
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 Roberta E Jordan?

The NPI number of Roberta E Jordan is 1962986869. It was assigned on September 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Roberta E Jordan?

Roberta E Jordan is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 118300.

Where does Roberta E Jordan practice?

The practice location is 579 Buck Island RD, West Yarmouth, MA 02673-3200. The office can be reached at 508-957-7007 (phone) or 508-790-8116 (fax).

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 1962986869 directly on the NPPES registry website.

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