Whitney Jordan, LCSW
Social Worker, Clinical in Burns, TN. Individual provider (NPI-1).
NPI number1609594480
StatusActive
Last updated in NPPESAug 18, 2022
Details
- NPI
- 1609594480
- Entity type
- Individual (NPI-1)
- Name
- Whitney Jordan
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2022
- Certification date
- Aug 18, 2022
- Last updated
- Aug 18, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 7697 | TN | Yes |
Practice location
165 Old Spencer RdBurns, TN 37029-5514
Phone 901-937-9948 · Fax 901-937-9948
Mailing address
165 Old Spencer RdBurns, TN 37029-5514
Phone 901-937-9948 · Fax 901-937-9948
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