MARY K. JORDAN (NPI# 1083611701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083611701 |
| Entity Type | Individual |
| Full Name | MARY K. JORDAN |
| Credential | LICSW |
| Practice Address |
500 S Maple St Waconia MN 55387-1752 |
| Mailing Address |
1952 Fischer Dr Waconia MN 55387-7501 |
| Practice Telephone | 9524422191 |
| Mailing Telephone | 9524422191 |
| Mailing Fax Number | 9524426044 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 13949 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
| 1063712040 | Mary Elizabeth Jordan | Social Worker | 1551 Indian Hills Dr Ste 206, Sioux City, IA 51104-1857 | 2010-10-25 |
| 1912212457 | Mary E Jordan | Counselor | 14 Clara Dr Ste 3, Mystic, CT 06355-1973 | 2010-08-09 |
| 1417126350 | Mary A Jordan | Social Worker | 4 Pell Place, Pelham, NY 10803-1310 | 2008-02-25 |
| 1104002070 | Mary Ann Jordan | Registered Nurse | 24 Picket Ln, Centereach, NY 11720-2511 | 2008-01-10 |
| 1538284773 | Mary Elizabeth Jordan | Nurse Practitioner | 1717 Columbia Rd Nw, Washington, DC 20009-2803 | 2007-03-20 |
| 1508911132 | Mary C Jordan | Licensed Vocational Nurse | 7053 Milwood Ave, Canoga Park, CA 91303-2159 | 2007-01-24 |
| 1356410294 | Mary Catherine Jordan | Nurse Practitioner | 5455 Meridian Mark Rd., Ste. 400, Atlanta, GA 30342 | 2006-11-07 |
| 1275615437 | Mary Jan Jordan | Counselor | 536 Fireside Court, Suite D, Lawrence, KS 66049-2300 | 2006-10-19 |
| 1215017025 | Mary Louise Jordan | Licensed Practical Nurse | 1927 W Meinecke Ave, Milwaukee, WI 53206-2063 | 2006-10-16 |
| Street Address |
500 S MAPLE ST |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545379 | Ridgeview Medical Center | General Acute Care Hospital | 500 S Maple St, Waconia, MN 55387-1752 | 2019-08-28 |
| 1548744519 | Karissa Lyn Stromley | Nurse Anesthetist, Certified Registered | 500 S Maple St, Waconia, MN 55387 | 2018-09-17 |
| 1598245128 | Jennifer R Finger | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1791 | 2018-08-14 |
| 1609384031 | Abby Therese Messer | Social Worker | 500 S Maple St, Waconia, MN 55387-1752 | 2018-01-19 |
| 1407364565 | Nicole Marcouiller | Social Worker | 500 S Maple St, Waconia, MN 55387-1752 | 2018-01-10 |
| 1326575341 | Cady Welch | Student in an Organized Health Care Education/Training Program | 500 S Maple St, Waconia, MN 55387-1752 | 2017-05-22 |
| 1396272159 | Angelica Stoltz | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1752 | 2017-05-11 |
| 1033650627 | Sara Maurer | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1752 | 2017-03-15 |
| 1700328689 | Brady Perry Griffith | Physician Assistant | 500 S Maple St, Waconia, MN 55387-1752 | 2016-11-09 |
| 1780042325 | Cynthia Nicole Matthees | Physician Assistant | 500 S Maple St, Waconia, MN 55387-1752 | 2016-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639588437 | Kay A Kinkel | Social Worker | 800 Waconia Pkwy N, Waconia, MN 55387-9241 | 2014-08-05 |
| 1093849622 | Thomas Edward Monsen | Social Worker | 504 Industrial Boulevard, Waconia, MN 56387 | 2007-03-15 |
| 1932125861 | Melissa Beth Hanson | Social Worker | 540 East First Street, Waconia, MN 55387-1601 | 2006-07-14 |
| 1386778918 | Connie J Gibson | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2007-03-15 |
| 1316949845 | Birdie Margaret Martinka-breiner | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-15 |
| 1780686204 | Cheryl Victoria Paulaha | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-15 |
| 1407858921 | Scott Allen Winker | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-15 |
| 1295737716 | Patricia Mullin Ahrens | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-15 |
| 1972504041 | Sharon Lisa Letizio | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-10 |
| 1891796918 | Melanie Jane Warm | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-10 |
| Find all providers in WACONIA | ||||
Please comment or provide details below to improve the information on MARY K. 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.