Terrie L Jordan is a Clinical in Hanscom Afb, Massachusetts. Terrie L Jordan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terrie L Jordan is 1720064496. The last update date is 2014-01-22.
Terrie L Jordan's current location address is 90 Vandenberg Dr, Hanscom Afb, Massachusetts. You can contact this provider via phone number 7812256789 and fax number 7812252576. The mailing address for Terrie L Jordan is 90 Vandenberg Dr, Hanscom Afb, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terrie L Jordan |
|---|---|
| Address | 90 Vandenberg Dr, Hanscom Afb, Massachusetts |
| Phone Number | 7812256789 |
| Fax Number | 7812252576 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1720064496 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2014-01-22 |
Provider Mailing Address Detail
| Address | 90 Vandenberg Dr |
|---|---|
| City | Hanscom Afb |
| State | Massachusetts (MA) |
| Post Code | 17312104 |
| Phone Number | 7812256789 |
| Fax Number | 7812252576 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1601 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Terrie L Jordan by the Centers for Medicare & Medicaid Services?
The Terrie L Jordan has been assigned the NPI (National Provider Identifier) 1720064496 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Terrie L Jordan is geographically located?
The Terrie L Jordan is physically situated at the following location: 90 Vandenberg Dr, Hanscom Afb, MA, 17312104.
What is the Terrie L Jordan's specialty and taxonomy code?
The Terrie L Jordan's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Terrie L Jordan receive the assignment of its 1720064496 from the Centers for Medicare & Medicaid Services?
The Terrie L Jordan was issued its 1720064496 by the Centers for Medicare & Medicaid Services on 2005-12-15.
When was the information regarding Terrie L Jordan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Terrie L Jordan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-01-22.