ROBERTA ELLEN JORDAN (NPI# 1962986869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962986869 |
| Entity Type | Individual |
| Full Name | ROBERTA ELLEN JORDAN |
| Practice Address |
579 Buck Island Rd West Yarmouth MA 02673-3200 |
| Mailing Address |
Maplewood Mayflower Place Snf, LLC 579 Buck Island Road West Yarmouth MA 02673 |
| Practice Telephone | 5089577007 |
| Practice Fax Number | 5087908116 |
| Mailing Telephone | 5089577007 |
| Mailing Fax Number | 5087908116 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
118300 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649550492 | Roberta M Jordan | Advanced Practice Midwife | 1500 E Medical Center Drive, Von Voigtlander Womens Hospital, Ann Arbor, MI 48109-4256 | 2011-08-25 |
| Street Address |
579 BUCK ISLAND RD |
| City | WEST YARMOUTH |
| State | MA |
| Zip Code | 02673-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300729 | Lisa Sheehan | Occupational Therapy Assistant | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2020-09-08 |
| 1982195541 | Evan Daniel Healy | Physical Therapist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2018-05-19 |
| 1942720933 | Derek Foy | Physical Therapist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2017-06-21 |
| 1093258303 | Jordan Nicole Gonzalski | Speech-Language Pathologist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2016-11-18 |
| 1134530892 | Sarah Cozzens | Occupational Therapist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2014-05-15 |
| 1427471531 | Carrissa Gray | Occupational Therapy Assistant | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2014-01-24 |
| 1841483310 | Cynthia Lynn Towey | Physical Therapist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2007-08-19 |
| 1366569162 | Diane Maria Allard Ix | Occupational Therapist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2007-03-25 |
| 1952428757 | Therese Marie Macleod | Physical Therapy Assistant | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2007-03-25 |
| 1003932302 | Sara Leroy | Speech-Language Pathologist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851892434 | Anne Lauren Koch | Dentist | 29 Lewis Bay Blvd, Suite 4, West Yarmouth, MA 02673 | 2018-02-28 |
| 1306358676 | Maggie Pirini | Student in an Organized Health Care Education/Training Program | 47 Colburne Path, West Yarmouth, MA 02673 | 2017-10-26 |
| 1790037703 | Wendy J Hartjen | Technician, Other | 44 Grace Avenue, West Yarmouth, MA 02673 | 2012-10-15 |
| 1881712750 | Gail Haden | Physical Therapy Assistant | 579 Buck Island Road, Yarmouth, MA 02673 | 2007-03-27 |
| 1851486682 | Cape Cod Medical Enterprises Inc | Ambulance | 57 Mid Tech Dr, West Yarmouth, MA 02673 | 2006-10-04 |
| 1588761787 | Professional Endodontics PC | Dentist | 30 Higgins Crowell Road, West Yarmouth, MA 02673 | 2006-09-20 |
| 1154432342 | Joseph Anthony Pare | Social Worker | 572 Route 28 Unit 4, West Yarmouth, MA 02673 | 2006-08-31 |
| 1194831859 | Stacey Anne Locascio | Counselor | 572 Main Street, Pare and Associates, West Yarmouth, MA 02673 | 2006-08-22 |
| 1497718035 | Kathryn M Rudman | Pediatrics | 150 Ansel Hallet Rd, West Yarmouth, MA 02673 | 2006-04-06 |
| 1194794206 | Sharon A Daley | Specialist | 150 Ansel Hallet Road, West Yarmouth, MA 02673 | 2006-03-14 |
| Find all providers in zip 02673 | ||||
| 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 |
|---|---|---|---|---|
| 1154432342 | Joseph Anthony Pare | Social Worker | 572 Route 28 Unit 4, West Yarmouth, MA 02673 | 2006-08-31 |
| 1619972775 | Anita Leone Parker | Social Worker | 30 Higgins Crowell Rd, West Yarmouth, MA 02673-3444 | 2005-06-16 |
| 1154788305 | Tamara Sumpter | Social Worker | 134 Ansel Hallet Rd, #3, West Yarmouth, MA 02673-2582 | 2016-01-19 |
| 1598166159 | Jill F. Loveridge | Social Worker | 134 Ansel Hallet Rd, Suite 3, West Yarmouth, MA 02673-2582 | 2014-09-14 |
| 1881094779 | Christine Degiacomo | Social Worker | 134 Ansel Hallet Rd, West Yarmouth, MA 02673-2582 | 2014-08-27 |
| 1164857298 | Alison Hyder | Social Worker | 134 Ansel Hallet Rd, West Yarmouth, MA 02673-2582 | 2013-09-09 |
| 1770924318 | Erica Lynne Tasha | Social Worker | 134 Ansel Hallet Rd, West Yarmouth, MA 02673-2582 | 2013-07-11 |
| 1063650497 | Mary-lynn Ruth Swanson | Social Worker | 30 Higgins Crowell Rd, Ste 4, West Yarmouth, MA 02673-3444 | 2009-01-22 |
| 1407019805 | Dbt Skills Center, PC | Social Worker | 572 Main St, Unit 3, West Yarmouth, MA 02673-4909 | 2008-07-07 |
| 1164593786 | Mary Elizabeth Butler Minor | Social Worker | 572 Main St, West Yarmouth, MA 02673 | 2006-11-13 |
| Find all providers in WEST YARMOUTH | ||||
| City | WEST YARMOUTH |
| Zip Code | 02673 |
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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.