Yolanda Jordan is a Clinical in Chicago, Illinois. Yolanda Jordan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Yolanda Jordan is 1457457897. The last update date is 2007-07-08.
Yolanda Jordan's current location address is 10540 S Western Ave, Chicago, Illinois. You can contact this provider via phone number 7732397450 and fax number 7732339248. The mailing address for Yolanda Jordan is 10540 S Western Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yolanda Jordan |
|---|---|
| Address | 10540 S Western Ave, Chicago, Illinois |
| Phone Number | 7732397450 |
| Fax Number | 7732339248 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1457457897 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10540 S Western Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606432536 |
| Phone Number | 7732397450 |
| Fax Number | 7732339248 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149008481 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273966000 | IL | MAGELLAN EAP | |
| 1633569 | IL | BLUE CROSS BLUE SHIELD | |
| 367262 | IL | MBC CORPORATION |
Post Comment/ Review Below
What is the unique identifier code issued to Yolanda Jordan by the Centers for Medicare & Medicaid Services?
The Yolanda Jordan has been assigned the NPI (National Provider Identifier) 1457457897. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Yolanda Jordan's facilities are situated?
The facilities of Yolanda Jordan are physically located at the following address: 10540 S Western Ave, Chicago, IL, 606432536.
What is Yolanda Jordan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Yolanda Jordan is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Yolanda Jordan receive the assignment of its 1457457897 from the Centers for Medicare & Medicaid Services?
The Yolanda Jordan was issued its 1457457897 by the Centers for Medicare & Medicaid Services on 2006-09-15.
As of what date were the Yolanda Jordan's details last updated?
The information pertaining to the Yolanda Jordan, including its address, specialty, and other details, was most recently updated on 2007-07-08.