MRS. JACQUELINE MARIE JORDAN LCSW
NPI 1134447105
Social Worker in Bloomington, IN

Q: What is Jacqueline Jordan's NPI number?

The NPI number for Jacqueline Jordan is 1134447105. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Q: What is Jacqueline Jordan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Jordan was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 14, 2010PECOS Enrolled

1117 N JACKSON ST, BLOOMINGTON, IN 47404(812) 361-8568(812) 339-2932 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Jacqueline Marie Jordan Lcsw NPPES

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

MRS. JACQUELINE MARIE JORDAN LCSW (NPI 1134447105) is an individual social worker in Bloomington, Indiana and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134447105

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. JACQUELINE MARIE JORDANCredential: LCSW

Location Address1117 N JACKSON STBloomington, IN 47404-3385

Mailing Address1117 N Jackson StBloomington, IN 47404-3385 · (812) 361-8568 · Fax (812) 339-4436

Phone(812) 361-8568

Fax(812) 339-2932

Sole ProprietorYes

Enumeration DateMay 14, 2010

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1134447105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1117 N JACKSON ST, Bloomington, IN 47404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline Marie Jordan Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jacqueline M Jordan LLC

Same address

Clinical

1117 N JACKSON ST
Bloomington, IN 47404

Reassigned Medicare billing, Indiana enrollment

NPI 1952237232 (812) 361-8568

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

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

MS. DELYN KAZDAN MSED

Counselor (Mental Health)