MRS. HOLLY MICHELLE JORDAN MSW, LICSW, AADC
NPI 1013229327
Social Worker - Clinical in Scott Depot, WV

Q: What is Holly Jordan's NPI number?

The NPI number for Holly Jordan is 1013229327. It was assigned to this individual provider in the NPPES registry on July 2, 2010.

Q: What is Holly Jordan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Holly Jordan was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2010

97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560(304) 757-6999(304) 757-3252 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2019, Sep 26, 2016 (2 updates tracked since 2016).

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About Mrs. Holly Michelle Jordan Msw, Licsw, Aadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HOLLY MICHELLE JORDAN MSW, LICSW, AADC (NPI 1013229327) is an individual clinical provider in Scott Depot, West Virginia, licensed in West Virginia (DP00943969) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1013229327

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. HOLLY MICHELLE JORDANCredential: MSW, LICSW, AADC

Location Address97 GREAT TEAYS BLVD STE 6Scott Depot, WV 25560-9816

Mailing Address97 Great Teays Blvd Ste 6Scott Depot, WV 25560-9816 · (304) 757-6999 · Fax (304) 757-3252

Phone(304) 757-6999

Fax(304) 757-3252

Sole ProprietorNo

Enumeration DateJuly 2, 2010

Last NPPES UpdateAugust 2, 20192 updates tracked since enumeration

✔ NPI 1013229327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WV · DP00943969

Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1648 (NC)

97 GREAT TEAYS BLVD STE 6, Scott Depot, WV 25560

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Other Identifiers 2

Medicaid3810023874WV

Medicaid1013229327WV

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON FARLEY

Physician Assistant