MRS. HOLLY MICHELLE JORDAN (NPI# 1013229327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013229327 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY MICHELLE JORDAN |
| Credential | MSW, LICSW, AADC |
| Practice Address |
97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816 |
| Practice Telephone | 3047576999 |
| Practice Fax Number | 3047573252 |
| Mailing Telephone | 3047576999 |
| Mailing Fax Number | 3047573252 |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1648 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
DP00943969 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810023874 | 05 | |
| WV | 1013229327 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536105 | Holly D Jordan | Occupational Therapist | 2244 S Avenue A Ste E, Yuma, AZ 85364-8341 | 2018-01-25 |
| 1184085763 | Holly Jordan | Physical Therapy Assistant | 129 Commercial Dr Unit 5b, Yorkville, IL 60560-4731 | 2016-03-10 |
| 1558921098 | Holly Jordan | Psychiatry & Neurology | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2019-06-17 |
| 1679034110 | Holly Jordan | Nurse Practitioner | 610 19th St, Columbus, GA 31901-1528 | 2019-03-27 |
| 1215482989 | Holly Jordan | Hearing Instrument Specialist | 7019 Harps Mill Rd, Raleigh, NC 27615-3248 | 2016-08-23 |
| 1750532404 | Holly Anne Jordan | Case Manager/Care Coordinator | 1217 Stone St, Jonesboro, AR 72401-4520 | 2008-09-30 |
| 1972777258 | Holly Maria Jordan | Speech-Language Pathologist | 351 Wilmington Island Rd, Savannah, GA 31410-3851 | 2008-04-17 |
| Street Address |
97 GREAT TEAYS BLVD STE 6 |
| City | SCOTT DEPOT |
| State | WV |
| Zip Code | 25560-9816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225017874 | Mary Buffington Jenkins | Family Medicine | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 | 2006-01-12 |
| 1952801250 | Lela Owusu | Social Worker | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560 | 2018-02-14 |
| 1730624198 | Christy Lynn Williams | Nurse Practitioner | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 | 2016-12-21 |
| 1831640556 | Michelle D Stewart | Nurse Practitioner | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 | 2016-10-18 |
| 1356637318 | Glenn W Ratliff | Psychologist | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 | 2011-06-28 |
| 1578721221 | Sanjay Stanley Masilamani | Psychiatry & Neurology | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 | 2008-05-29 |
| 1346427341 | Grace Ann Gibson | Dietitian, Registered | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 | 2008-01-22 |
| 1376763144 | April Michele Baisden | Internal Medicine | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 | 2007-04-26 |
| 1952426736 | Glennis E Peters | Counselor | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560 | 2007-03-20 |
| 1598865644 | Nancy K. Dunn | Nurse Practitioner | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297248 | Nutrisense Nutrition Consulting, LLC | Dietitian, Registered | 18 Meadow Lane, Scott Depot, WV 25560 | 2018-03-01 |
| 1508224916 | Stephanie Leigh Bowman | Nurse Practitioner | 95 Heidi Way, Scott Depot, WV 25560 | 2016-02-01 |
| 1457798266 | Jodi H Biller | Nurse Practitioner | 300 Corporate Center Dr., Scott Depot, WV 25560 | 2013-06-03 |
| 1730427469 | Teays Valley Volunteer Fire Department, Inc | Ambulance | 105 Popular Fork Rd, Scott Depot, WV 25560 | 2013-01-31 |
| 1073862991 | Scott A Cyrus | Pharmacist | 201 Teays Ctr Kroger 02900784, Scott Depot, WV 25560 | 2012-09-06 |
| 1578625596 | Harold Alan Morris | Dentist | Carls Lane, Scott Depot, WV 25560 | 2006-12-15 |
| 1457427429 | Martha Cook Carter | Registered Nurse | 301 6 Great Teays Blvd, Scott Depot, WV 25560 | 2006-11-28 |
| 1649360827 | Jan Byrnside Frame | Registered Nurse | 21 Thoroughbred Rd, Scott Depot, WV 25560 | 2006-10-16 |
| 1639271836 | Laberta S Salamacha | Counselor | 4031 Teays Valley Road, Scott Depot, WV 25560 | 2006-09-01 |
| 1588683767 | Kim D Lopes | Advanced Practice Midwife | 3016 Great Teays Blvd, Scott Depot, WV 25560 | 2006-07-19 |
| Find all providers in zip 25560 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033722400 | Catherine Lee Wood | Social Worker | 67 Waterside Ct, Berkeley Springs, WV 25411-5627 | 2020-08-26 |
| 1154932259 | Katelynn Collins | Social Worker | 101 Dingess St, Logan, WV 25601-3603 | 2020-08-12 |
| 1558986893 | Jenna Renee Mosely Lohnes | Social Worker | 3600 Collins Ferry Rd, Morgantown, WV 26505-2378 | 2020-06-12 |
| 1346861697 | Shane Patrick Lightle | Social Worker | 1249 Meadow Ln, Milton, WV 25541-8577 | 2020-04-28 |
| 1497384812 | Neal Allen Newfield | Social Worker | 1063 Maple Dr # 1, Morgantown, WV 26505-0387 | 2020-04-07 |
| 1780219782 | Kristina Michelle Hash | Social Worker | 451 Ash St, Morgantown, WV 26501-6667 | 2020-03-10 |
| 1043853641 | Erin Impellizzeri | Social Worker | 21 Cool Spring Ln, Charles Town, WV 25414-4648 | 2019-10-26 |
| 1780227850 | Elisa Marie Hickman | Social Worker | 403 Kruger St, Wheeling, WV 26003-5126 | 2019-10-22 |
| 1841832508 | Tiana Jacquelin Lasporgara | Social Worker | 235 High St Ste 311, Morgantown, WV 26505-5455 | 2019-10-15 |
| 1740830504 | Brittany Leanne Henderson | Social Worker | 2401 S Kanawha St Ste 101, Beckley, WV 25801-6967 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SCOTT DEPOT |
| Zip Code | 25560 |
Please comment or provide details below to improve the information on MRS. HOLLY MICHELLE JORDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.