JESSICA JORDAN (NPI# 1457508020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457508020 |
| Entity Type | Individual |
| Full Name | JESSICA JORDAN |
| Credential | LCSW |
| Practice Address |
81 Lake Ave Rochester NY 14608-1410 |
| Practice Telephone | 5853686900 |
| Mailing Telephone | 5853686900 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2013-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
079019 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874498 | Jessica Jordan | Massage Therapist | 602 Sw 1st St, Dania, FL 33004-3209 | 2020-09-08 |
| 1144853391 | Jessica Jordan | Developmental Therapist | 7618 Jockey Dr, Loves Park, IL 61111-5389 | 2020-02-17 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1124587852 | Jessica Jordan | Behavior Technician | 14440 Harvey Ln, Riverside, CA 92503-7463 | 2019-03-12 |
| 1558839720 | Jessica Jordan | Speech-Language Pathologist | 1984 Folly Rd Apt B101, Charleston, SC 29412-8581 | 2018-11-06 |
| 1285136739 | Jessica B. M. Jordan | Acupuncturist | 104 S Stellar Pkwy, Chandler, AZ 85226-3725 | 2018-03-01 |
| 1316466212 | Jessica Jordan | Massage Therapist | 1121 76 Rd, Berkshire, NY 13736-2007 | 2017-09-12 |
| 1275631210 | Jessica Jordan | Advanced Practice Midwife | 2910 Libby Ter, Richmond, VA 23223-7908 | 2006-09-21 |
| 1770194490 | Jessica Jordan | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-14 |
| 1932717949 | Jessica Marie Jordan | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-07-15 |
| Street Address |
81 LAKE AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14608-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760595854 | Ram Wesley Rapoport | Psychiatry & Neurology | 81 Lake Ave, Rochester, NY 14608-1410 | 2006-08-16 |
| 1144841784 | Rebekah Balch | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-05-06 |
| 1104447796 | Anni Mcentire Gruttadaro | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-05-05 |
| 1912532136 | Maksim Tsaryk | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-09 |
| 1306471784 | Michelle Janine Squicciarini-beterbiyev | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-06 |
| 1669007985 | Tryceena Marie Gordon | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-06 |
| 1750911095 | Amanda Leigh Tuttle | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-24 |
| 1225678402 | Salvatore Mongiovi | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-15 |
| 1346880978 | Abigail L Wood | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-11 |
| 1346889763 | Emily Lehman | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138184 | Starzom, LLC | Transportation Broker | 803 South Plymouth Avenue, Rochester, NY 14608 | 2019-01-16 |
| 1750864500 | Nikki Haynesworth | Counselor | 394 Frederick Douglass St., Rochester, NY 14608 | 2018-09-07 |
| 1639614498 | Atiya Abdus-samad | Technician | 104 Cady Street, Rochester, NY 14608 | 2017-01-03 |
| 1467806703 | Beverley Adams | Licensed Practical Nurse | 200 Frost Avenue, Rochester, NY 14608 | 2016-04-22 |
| 1497114037 | Amanda Martinez | Licensed Practical Nurse | 125 Minnesota St, Rochester, NY 14608 | 2016-02-10 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1033397252 | Tracy Stevens | Registered Nurse | 280 Seward Street, Rochester, NY 14608 | 2008-02-11 |
| 1578653929 | Amy L Archer | Social Worker | 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 | 2006-10-14 |
| 1902906233 | Kevin M Mcintyre | Psychiatry & Neurology | 81 Lake Ave., Rochester, NY 14608 | 2006-09-25 |
| 1427088913 | Steven M Ess | Chiropractor | 309 Exchange Blvd, Rochester, NY 14608 | 2006-07-03 |
| Find all providers in zip 14608 | ||||
| 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 |
|---|---|---|---|---|
| 1417562299 | Katelyn Connolly | Social Worker | 1017 33rd St Nw, Rochester, MN 55901-1484 | 2020-09-09 |
| 1427660711 | Annika Peterson | Social Worker | 2632 5th Ave Nw, Rochester, MN 55901-2363 | 2020-08-19 |
| 1649888116 | Michelle Solomou | Social Worker | 61 Evandale Rd, Rochester, NY 14618-3901 | 2020-07-21 |
| 1366067753 | Ashraf Khater | Social Worker | 513 University Park, Rochester, NY 14620-4434 | 2020-06-10 |
| 1770115560 | Diana Lerner | Social Worker | 1441 Clover St, Rochester, NY 14610-3313 | 2020-02-10 |
| 1922639111 | Kristina Maria Washington | Social Worker | 121 Stover Rd, Rochester, NY 14624-4451 | 2020-01-28 |
| 1689210072 | Vanessa Dannielle Peavy | Social Worker | The University of Rochester, 738 Library Rd., Rochester, NY 14627-1462 | 2019-11-21 |
| 1336799972 | Element Psychotherapy LLC | Social Worker | 333 1/2 S Main St Ste B-1, Rochester, MI 48307-2084 | 2019-09-16 |
| 1215586920 | Caswell Vincent Smith | Social Worker | 161 California Dr, Rochester, NY 14616-4209 | 2019-09-05 |
| 1568010163 | Antoinette Palka Gauthier | Social Worker | 115 Lomb Memorial Dr, Rochester, NY 14623-5608 | 2019-08-28 |
| Find all providers in ROCHESTER | ||||
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| 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.