Lisa L Jordan is a Clinical in Minneapolis, Minnesota. Lisa L Jordan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa L Jordan is 1790800191. The last update date is 2020-02-21.
Lisa L Jordan's current location address is Po Box 43, Minneapolis, Minnesota. You can contact this provider via phone number 6122621166 and fax number 6122624258. The mailing address for Lisa L Jordan is Po Box 43, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa L Jordan |
|---|---|
| Address | Po Box 43, Minneapolis, Minnesota |
| Phone Number | 6122621166 |
| Fax Number | 6122624258 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1790800191 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2020-02-21 |
Provider Mailing Address Detail
| Address | Po Box 43 |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554400043 |
| Phone Number | 6122621166 |
| Fax Number | 6122624258 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-451 |
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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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What is the unique identification code assigned to Lisa L Jordan by the Centers for Medicare & Medicaid Services?
The Lisa L Jordan has been issued the NPI (National Provider Identifier) 1790800191. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lisa L Jordan?
The Lisa L Jordan is situated at Po Box 43, in the city of Minneapolis, state of MN, with the zip code 554400043.
What is Lisa L Jordan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa L Jordan's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1790800191 assigned to Lisa L Jordan?
The Lisa L Jordan was issued its 1790800191 on 2007-03-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Lisa L Jordan's information last updated?
The Lisa L Jordan's information was last updated on 2020-02-21.
NPI Number: 1972506228
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