Michael Christophe Jordan in Philadelphia - Clinical
Michael Christophe Jordan - NPI 1962695338
Michael Christophe Jordan is a Clinical in Philadelphia, Pennsylvania. Michael Christophe Jordan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Christophe Jordan is 1962695338. The last update date is 2023-06-29.
Michael Christophe Jordan's current location address is 5429 Vicaris St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2675811977. The mailing address for Michael Christophe Jordan is 5429 Vicaris St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Christophe Jordan |
|---|---|
| Address | 5429 Vicaris St, Philadelphia, Pennsylvania |
| Phone Number | 2675811977 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSS, LCSW |
NPI Number Detail
| NPI Number | 1962695338 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2023-06-29 |
Provider Mailing Address Detail
| Address | 5429 Vicaris St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191282823 |
| Phone Number | 2675811977 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW015784 |
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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 Michael Christophe Jordan by the Centers for Medicare & Medicaid Services?
The Michael Christophe Jordan has been issued the NPI (National Provider Identifier) 1962695338. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Christophe Jordan is physically located?
The Michael Christophe Jordan is physically situated at the following address: 5429 Vicaris St, Philadelphia, PA, 191282823.
What is Michael Christophe Jordan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Christophe Jordan is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Michael Christophe Jordan receive its 1962695338 assignment from the Centers for Medicare & Medicaid Services?
The Michael Christophe Jordan was assigned its 1962695338 by the Centers for Medicare & Medicaid Services on 2007-08-20.
As of what date were the details related to Michael Christophe Jordan most recently updated or revised?
The information pertaining to Michael Christophe Jordan, including its address, specialty, and other relevant details, was last updated or revised on 2023-06-29.
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