Kristine M. Jordan, LISW
Social Worker, Clinical in Fairview Park, OH. Individual provider (NPI-1).
NPI number1609092006
StatusActive
Last updated in NPPESMay 17, 2022
Details
- NPI
- 1609092006
- Entity type
- Individual (NPI-1)
- Name
- Kristine M. Jordan
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2007
- Certification date
- May 17, 2022
- Last updated
- May 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I 0009562 | OH | Yes |
Practice location
20939 Lorain RdSuite 8
Fairview Park, OH 44126-2022
Phone 440-331-2010 · Fax 440-331-2052
Mailing address
4807 Rockside RdSte 610
Independence, OH 44131-2166
Phone 216-906-1117 · Fax 330-835-9552
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All 19 Clinical Social Worker providers in Fairview Park · All 357 providers in Fairview Park
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