SCOTT JORDAN (NPI# 1790860294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790860294 |
| Entity Type | Individual |
| Full Name | SCOTT JORDAN |
| Credential | LCSW, CASAC |
| Practice Address |
1235 Main St Buffalo NY 14209-2111 |
| Mailing Address |
227 Thorn Avenue Box 631 Orchard Park NY 14127 |
| Practice Telephone | 7168845797 |
| Practice Fax Number | 7168844938 |
| Mailing Telephone | 7166622040 |
| Mailing Fax Number | 7166620019 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11739 | NY | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
69596 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BCBS | 000528699001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104348754 | Scott Frederic Jordan | Counselor | 1391 Washington Blvd, Pittsburgh, PA 15206-1801 | 2017-07-14 |
| 1508230178 | Scott Jordan | Physical Therapist | 2807 Greystone Comm Blvd, Suite 34, Birmingham, AL 35242-9601 | 2015-11-19 |
| 1487916649 | Scott E Jordan | Obstetrics & Gynecology | 3401 N Broad St, 7th Floor Zone B, Philadelphia, PA 19140-5103 | 2012-06-13 |
| 1982623237 | Scott M. Jordan | Dentist | 285 N El Camino Real, Suite 210, Encinitas, CA 92024-5383 | 2006-07-18 |
| 1982686739 | Scott B. Jordan | Obstetrics & Gynecology | 1800 12th St, Meridian, MS 39301-4158 | 2005-11-17 |
| Street Address |
1235 MAIN ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14209-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639578446 | Erin Dunn | Registered Nurse | 1235 Main St, Buffalo, NY 14209-2111 | 2014-08-18 |
| 1083033013 | Kayla Szykowny | Counselor | 1235 Main St, Buffalo, NY 14209-2111 | 2014-04-07 |
| 1811333511 | Vincent Nucero | Counselor | 1235 Main St, Buffalo, NY 14209-2111 | 2013-05-21 |
| 1811241961 | Portia Pratt | Licensed Practical Nurse | 1235 Main St, Buffalo, NY 14209-2111 | 2012-10-27 |
| 1407126261 | Katherine Owczarzak | Registered Nurse | 1235 Main St, Buffalo, NY 14209-2111 | 2012-01-10 |
| 1689958225 | Tylica Shante Pope | Counselor | 1235 Main St, Buffalo, NY 14209-2111 | 2011-09-30 |
| 1922306877 | Adrianna Anzalone | Social Worker | 1235 Main St, Buffalo, NY 14209-2111 | 2011-03-02 |
| 1306171079 | Krystal Pearl Valvo | Counselor | 1235 Main St, Buffalo, NY 14209-2111 | 2009-10-13 |
| 1760542682 | Kevin Beckman | Counselor | 1235 Main St, Buffalo, NY 14209-2111 | 2006-12-11 |
| 1861564932 | Suzanne Borodzik | Art Therapist | 1235 Main St, Buffalo, NY 14209-2111 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 1194272799 | Joseph Michael Dellavalle | Physical Therapist | 969 Ellicott Street, Buffalo, NY 14209 | 2016-09-01 |
| 1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
| 1699177485 | Emily Catherine Gorman | Dietitian, Registered | 1084 Delaware Ave, Buffalo, NY 14209 | 2014-09-23 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1871885798 | Oncomed The Oncology Pharmacy of Buffalo Ny LLC | Pharmacy | 1100 Main St Ste 100, Buffalo, NY 14209 | 2011-05-11 |
| 1740583723 | Aryan Wahab | Student in an Organized Health Care Education/Training Program | 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 | 2010-12-13 |
| 1841500873 | Nicole Curtin | Chiropractor | 1275 Main St, Suite 110, Buffalo, NY 14209 | 2010-10-08 |
| Find all providers in zip 14209 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133688 | Carol Hunt | Counselor | 76 Humboldt Pkwy, Buffalo, NY 14214-2605 | 2020-10-27 |
| 1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
| 1982223764 | Tanya Ayn Freedland | Counselor | 1309 Timber Ln, Buffalo, MN 55313-2033 | 2020-04-13 |
| 1235772294 | Kofi Brenya | Counselor | 1260 N Forest Rd Apt C5, Buffalo, NY 14221-3252 | 2019-10-22 |
| 1982268348 | Jessica R.w. Weaver | Counselor | 1285 Main St Fl 1, Buffalo, NY 14209-1961 | 2019-04-30 |
| 1487123451 | Healing Waters Outreach Ministries | Counselor | 1547 Genesee St, Buffalo, NY 14211-1632 | 2018-11-19 |
| 1750898292 | Molly Sanders Clauss | Counselor | 737 Delaware Ave Ste 216, Buffalo, NY 14209-2260 | 2018-01-05 |
| 1801238878 | Dawn Margaret Fischer | Counselor | 1107 Innsbrook Ln, Buffalo, MN 55313-1295 | 2013-07-19 |
| 1235433129 | Paul Bax | Counselor | 3020 Bailey Ave Fl 2, Buffalo, NY 14215-2814 | 2011-01-06 |
| 1295067288 | Tara Ann Pace | Counselor | 128 Wilson St, Buffalo, NY 14212-1215 | 2010-02-02 |
| Find all providers in BUFFALO | ||||
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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.