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JORDAN ROLAND LMSW
NPI 1184510372
Social Worker - Clinical in Gulfport, MS

Active since June 16, 2025PECOS EnrolledAccepts Medicare Assignment
1613 23RD AVE, GULFPORT, MS 39501(228) 284-4651 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Roland Lmsw NPPES

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

JORDAN ROLAND LMSW (NPI 1184510372) is an individual clinical provider in Gulfport, Mississippi, licensed in Mississippi (M9725) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184510372
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJORDAN ROLANDCredential: LMSW
Location Address1613 23RD AVEGulfport, MS 39501-2960
Mailing Address208 Glen Eagles DrOcean Springs, MS 39564-9041 · (228) 273-5999
Phone(228) 284-4651
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1184510372 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 MS · M9725
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.
1613 23RD AVE, Gulfport, MS 39501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Roland Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082199187
PECOS Enrollment IDI20260326002957
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

JOANNIE EVANS APRN
Nurse Practitioner (Psychiatric/Mental Health)
1613 23RD AVE
GULFPORT, MS 39501
Harrison County (228) 284-4651
JESSICA NICOLE CAMPBELL M.S., NCC
Counselor
1613 23RD AVE
GULFPORT, MS 39501
Harrison County (228) 284-4651

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 Roland's NPI number?

The NPI number for Jordan Roland is 1184510372. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Jordan Roland located?

Jordan Roland practices at 1613 23rd Ave, Gulfport, MS 39501. The listed phone number is (228) 284-4651.

What is Jordan Roland's specialty?

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

Is Jordan Roland enrolled in Medicare?

Yes. Jordan Roland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jordan Roland was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.