DERRICK JORDAN (NPI# 1649735812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649735812 |
| Entity Type | Individual |
| Full Name | DERRICK JORDAN |
| Practice Address |
936 Broadway New York NY 10010-6013 |
| Mailing Address |
266 W 121st St Apt 2 New York NY 10027-6293 |
| Practice Telephone | 2128794900 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194039099 | Derrick Lamont Jordan | Social Worker | 311 Mcbee St, Lincolnton, NC 28092 | 2010-08-03 |
| Street Address |
936 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010-6013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912057670 | Adi Loebl | Psychiatry & Neurology | 936 Broadway, 2nd Florr, New York, NY 10010-6013 | 2007-01-12 |
| 1891265716 | Holly Alderman | Social Worker | 936 Broadway, New York, NY 10010-6013 | 2018-12-04 |
| 1164913315 | Alejandra Caso Illanes | Counselor | 936 Broadway, New York, NY 10010-6013 | 2018-05-23 |
| 1841729548 | Eloise Saint Claire True | Social Worker | 936 Broadway, New York, NY 10010-6013 | 2017-06-06 |
| 1396273660 | Stephanie Labadorf | Social Worker | 936 Broadway, New York, NY 10010-6013 | 2017-05-31 |
| 1679009674 | Amanda Yvette Cartagena | Social Worker | 936 Broadway, New York, NY 10010-6013 | 2017-05-11 |
| 1245766377 | Zahra Akram | Social Worker | 936 Broadway, New York, NY 10010-6013 | 2017-05-10 |
| 1053761379 | Edgar Galvis | Social Worker | 936 Broadway, Suite 2, New York, NY 10010-6013 | 2016-06-17 |
| 1104273267 | Ellen Yom | Social Worker | 936 Broadway, 2nd Floor, New York, NY 10010-6013 | 2016-05-18 |
| 1649624545 | Alessandra Sabbatini | Social Worker | 936 Broadway, New York, NY 10010-6013 | 2016-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502768 | Ayodeji Grace Oloke | Counselor | 1133 Broadway, Suite 640, New York, NY 10010 | 2020-09-08 |
| 1619589553 | Christine Belanga | Student in an Organized Health Care Education/Training Program | 71 West 23rd St, Suite 1400, New York, NY 10010 | 2020-08-21 |
| 1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
| 1134789084 | Auth Acupuncture Pllc | Acupuncturist | 20 W.22nd St. Ground Floor, New York, NY 10010 | 2019-06-13 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
| 1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
| Find all providers in zip 10010 | ||||
| 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 |
|---|---|---|---|---|
| 1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
| 1295335982 | Nita Batta | Social Worker | 225 Broadway Ste 2070, New York, NY 10007-3001 | 2020-10-30 |
| 1942809249 | Mekala Poppy Pavlin | Social Worker | 275 W 96th St Apt 23e, New York, NY 10025-6269 | 2020-10-19 |
| 1922606748 | Sally Schuss | Social Worker | 317 Lenox Ave Fl 5, New York, NY 10027-4453 | 2020-10-14 |
| 1982202685 | Josephine Jung-ah Suh | Social Worker | 274 Madison Ave Rm 1501, New York, NY 10016-0701 | 2020-10-14 |
| 1871100099 | Joseph Robert Hudson | Social Worker | 161 E 25th St Apt 2b, New York, NY 10010-2329 | 2020-09-30 |
| 1710594981 | Barbra Teater | Social Worker | 400 W 46th St Apt 3a, New York, NY 10036-9093 | 2020-09-30 |
| 1285241059 | Rachel Easterly | Social Worker | 255 W 23rd St # 2e, New York, NY 10011-2312 | 2020-09-25 |
| 1760098545 | Meriyen Nohemi Marquez Guerra | Social Worker | 120 E 123rd St Apt 4a, New York, NY 10035-1926 | 2020-09-17 |
| 1174138119 | Cassidy M Kahn | Social Worker | 340 E 93rd St Apt 29i, New York, NY 10128-5556 | 2020-09-15 |
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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.