JORDAN JACK


Address: 604 Pearl St, Monterey, CA 93940-3070
Phone: 8316473000

JORDAN JACK (NPI# 1528469681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528469681
Entity Type Individual
Full Name JORDAN JACK
Practice Address 604 Pearl St
Monterey
CA 93940-3070
Practice Telephone 8316473000
Mailing Telephone 8316473000
Enumeration Date 2014-09-09
Last Update Date 2019-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
68243 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MONTEREY COUNTY BEHAVIORAL HEALTH INTERN MENTAL HEALTH 01

Office Location

Street Address 604 PEARL ST
City MONTEREY
State CA
Zip Code 93940-3070

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497879894 Kate Spacher Social Worker 604 Pearl St, Monterey, CA 93940-3070 2007-03-19
1467060681 Angelica Gonzalez Counselor 604 Pearl St, Monterey, CA 93940-3070 2020-07-14
1598312803 Jason Allen Mcclure Counselor 604 Pearl St, Monterey, CA 93940-3070 2019-08-21
1780165530 Omar A Jimenez Social Worker 604 Pearl St, Monterey, CA 93940-3070 2018-08-28
1629570916 Yesenia Sofia Ramirez Counselor 604 Pearl St, Monterey, CA 93940-3070 2018-03-02
1184172785 Jordan Johnson Counselor 604 Pearl St, Monterey, CA 93940-3070 2016-09-13
1386097269 Evelyn Decker Counselor 604 Pearl St, Monterey, CA 93940-3070 2016-07-15
1922479096 Madison Golden Counselor 604 Pearl St, Monterey, CA 93940-3070 2015-10-14
1578961587 Jessica Schlesinger Counselor 604 Pearl St, Monterey, CA 93940-3070 2014-12-08
1518361633 Amanda Henrie Counselor 604 Pearl St, Monterey, CA 93940-3070 2014-10-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770145682 Mogo Urgent Care Clinic/Center 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 2019-07-01
1023537883 Drais and Chow Dental Corporation Dentist 21 Upper Ragsdale Suite 160, Monterey, CA 93940 2017-09-13
1639697048 Neil Northey Counselor 343 Dela Vina Ave., Monterey, CA 93940 2017-09-06
1316469075 Ashley Nicole Walden Counselor 1010 Cass St Ste C, Monterey, CA 93940 2017-07-13
1801317524 Aubrey Nicole Trammell Behavior Technician 140 W Franklin St., Unit 202, Monterey, CA 93940 2017-07-03
1366971764 Marlene Schwaighofer Behavior Technician 140 W Franklin Street, Ste. #202, Monterey, CA 93940 2017-06-08
1235668500 Rochelle Lyrae Winsted Licensed Psychiatric Technician Drake House 399 Drake St, Monterey, CA 93940 2017-06-08
1447783386 Interim Incorporated Community Based Residential Treatment Facility, Mental Illness 321 Hawthorne St, Apt B, Monterey, CA 93940 2017-04-07
1851841076 Joy Dean Counselor 343 Dela Vina, Monterey, CA 93940 2016-10-12
1629426416 Interim Inc Community Based Residential Treatment Facility, Mental Illness 604 Pearl St., Monterey, CA 93940 2016-06-02
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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, 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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528530128 Christine Mark-griffin, Lcsw Professional Corporation Social Worker 824 Munras Ave Ste H, Monterey, CA 93940-3121 2018-12-20
1619446010 Nancy Masino Martin Social Worker 100 Gould Rd., Monterey, MA 01245 2018-11-15
1346597861 Shahin Tonantzin Espinosa Social Worker 9829 Blue Larkspur Ln, Monterey, CA 93940-6535 2012-08-14
1790950533 Janet Thomas Social Worker 1398 Manor Road, Monterey, CA 93940-4912 2008-04-23
1881895811 Lynne Paulette White Dixon Social Worker 563 Figueroa St, Monterey, CA 93940-3232 2007-05-29
1962624684 Refugio Jose Guerrero Social Worker 1481 Hoffman Ave, Monterey, CA 93940-1622 2007-05-03
1902921620 Paul Mark Stewart Social Worker 444 Pearl St, Suite A-28, Monterey, CA 93940-3061 2007-03-20
1497879894 Kate Spacher Social Worker 604 Pearl St, Monterey, CA 93940-3070 2007-03-19
1083745798 Nancy Kathleen Cotham Social Worker 2150 Garden Rd Ste B1, Monterey, CA 93940-5327 2007-03-07
1467559781 Kathleen Elizabeth Martin Social Worker 473 Cabrillo Street, Ste. 422, Presidio of Monterey Army Health Clinic, Monterey, CA 93944-0001 2006-09-20
Find all providers in MONTEREY

Competitor

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City MONTEREY
Zip Code 93940

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Dataset Information

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.

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