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JORDAN MARGARET CHANTACA
NPI 1063141802
Social Worker - Clinical in Livonia, MI

Active since June 07, 2022
32290 5 MILE RD STE 1, LIVONIA, MI 48154(734) 778-0663(734) 785-8328 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2025, Jun 7, 2022 (2 updates tracked since 2022).

About Jordan Margaret Chantaca NPPES

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

JORDAN MARGARET CHANTACA (NPI 1063141802) is an individual clinical provider in Livonia, Michigan, licensed in Michigan (6851117187) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1063141802
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJORDAN MARGARET CHANTACA
Location Address32290 5 MILE RD STE 1Livonia, MI 48154-6110
Mailing AddressPo Box 12279Lansing, MI 48901-2279 · (517) 245-4777 · Fax (517) 698-8223
Phone(734) 778-0663
Fax(734) 785-8328
Sole ProprietorNo
Enumeration DateJune 7, 2022
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1063141802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6851117187
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.
32290 5 MILE RD STE 1, Livonia, MI 48154
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Other Identifiers 1

OtherC532439586202MI · Social Worker

Other Providers at the Same Location NPPES

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

MICHAEL DRAYTON DAVIS
Student in an Organized Health Care Education/Training Program
32290 5 MILE RD STE 1
LIVONIA, MI 48154
Wayne County (734) 778-0663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Chantaca's NPI number?

The NPI number for Jordan Chantaca is 1063141802. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Jordan Chantaca located?

Jordan Chantaca practices at 32290 5 Mile Rd Ste 1, Livonia, MI 48154. The listed phone number is (734) 778-0663.

What is Jordan Chantaca's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Chantaca was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.