Glory Jordan is a Clinical in Bloomingdale, Illinois. Glory Jordan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glory Jordan is 1811054224. The last update date is 2014-04-07.
Glory Jordan's current location address is 1 Tiffany Pt, Bloomingdale, Illinois. You can contact this provider via phone number 6309240600 and fax number 6302063019. The mailing address for Glory Jordan is 1 Tiffany Pt, Bloomingdale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glory Jordan |
|---|---|
| Address | 1 Tiffany Pt, Bloomingdale, Illinois |
| Phone Number | 6309240600 |
| Fax Number | 6302063019 |
| Sole Proprietor | Y |
| Credentials | LCSW, DCSW |
NPI Number Detail
| NPI Number | 1811054224 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2014-04-07 |
Provider Mailing Address Detail
| Address | 1 Tiffany Pt |
|---|---|
| City | Bloomingdale |
| State | Illinois (IL) |
| Post Code | 601082936 |
| Phone Number | 6309240600 |
| Fax Number | 6302063019 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.002321 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 262945 | IL | VALUE OPTIONS PROVIDER NO | |
| 363716771 | IL | TAX ID | |
| 7435198 | IL | AETNA BEHAVORIAL HEALTH | |
| 363716771 0012 | IL | CIGNA BEHAVORIAL HEALTH | |
| 2232789 | IL | BCBS PROVIDER NUMBER | |
| 476392000 | IL | MAGELLAN HEALTH SERVICES | |
| 206554117 | IL | UNITED BEH. HEALTH PROVID |
Post Comment/ Review Below
What is the Glory Jordan's unique identification number?
The Glory Jordan has been assigned the NPI (National Provider Identifier) Number 1811054224 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Glory Jordan?
The Glory Jordan is situated at 1 Tiffany Pt, in the city of Bloomingdale, state of IL, with the zip code 601082936.
What is Glory Jordan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Glory Jordan is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811054224 to Glory Jordan?
The Centers for Medicare & Medicaid Services assigned the 1811054224 to Glory Jordan on 2007-01-03.
When was the information regarding Glory Jordan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Glory Jordan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-04-07.