MRS. JORDAN DORA BERTY (NPI# 1407480007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407480007 |
| Entity Type | Individual |
| Full Name | MRS. JORDAN DORA BERTY |
| Other Name | JORDAN ELIZABETH DORA |
| Credential | LCSW |
| Practice Address |
6100 N Keystone Ave Ste 420 Indianapolis IN 46220-2892 |
| Mailing Address |
5310 E 79th St Indianapolis IN 46250-1704 |
| Practice Telephone | 3172964914 |
| Practice Fax Number | 3177130177 |
| Mailing Telephone | 3175048475 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34008763A | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10122 E 10th St Ste 100, Indianapolis, IN 462292697 | 3173555715 |
| Street Address |
6100 N KEYSTONE AVE STE 420 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-2892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174017990 | Karen Jean Jones | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2018-06-15 |
| 1598381899 | Robin Allen | Counselor | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2020-06-22 |
| 1396377644 | Tim Austin | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2020-02-05 |
| 1235773581 | Keaton Presti-stringfellow | Social Worker | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2019-10-30 |
| 1043861461 | Mary Corbett Cain | Counselor | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2019-09-26 |
| 1376006312 | Kristin Abeel | Social Worker | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2019-04-08 |
| 1689150286 | Gregory Gorden | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2018-07-17 |
| 1093200438 | Andrew Long | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2018-06-27 |
| 1720572944 | Christine M. O'hara | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| 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 |
|---|---|---|---|---|
| 1942808886 | Joan Marie Witt | Social Worker | 205 E Hickory Ln, Indianapolis, IN 46227-2447 | 2020-10-13 |
| 1821695008 | Belinda Shelton Gamble | Social Worker | 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 | 2020-10-01 |
| 1225642234 | Charlotte Cox | Social Worker | 124 N Oriental St, Indianapolis, IN 46202-3842 | 2020-09-07 |
| 1477167641 | Laura Marie Lines | Social Worker | 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 | 2020-09-03 |
| 1477167815 | Cydaria Lashon Cooke | Social Worker | 7909 Preservation Dr, Indianapolis, IN 46278-9553 | 2020-09-02 |
| 1790396760 | Restored Pieces LLC | Social Worker | 7210 Mars Dr, Indianapolis, IN 46241-3693 | 2020-08-13 |
| 1215546973 | Tammy M Skinner | Social Worker | 1633 N Capitol Ave # Mt301, Indianapolis, IN 46202-1261 | 2020-07-29 |
| 1922626092 | Heartland Healing Counseling Services | Social Worker | 2432 Conservatory Dr Fl 2, Indianapolis, IN 46203-3985 | 2020-07-06 |
| 1710504980 | Salma Mohiuddin | Social Worker | 3418 Bodelva Ln, Indianapolis, IN 46228-2894 | 2020-07-02 |
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on MRS. JORDAN DORA BERTY.
| 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.