JORDAN JACK (NPI# 1528469681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
68243 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MONTEREY COUNTY BEHAVIORAL HEALTH | INTERN MENTAL HEALTH | 01 |
Street Address |
604 PEARL ST |
City | MONTEREY |
State | CA |
Zip Code | 93940-3070 |
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 |
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 |
Find all providers in zip 93940 |
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 |
---|---|---|---|---|
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 |
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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.