DERRICK LAMONT JORDAN - NPI 1194039099 - Social Worker in Lincolnton, NC

Q: What is Derrick Jordan's NPI number?

The NPI number for Derrick Jordan is 1194039099. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Q: What is Derrick 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 Derrick Jordan was last updated on June 5, 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.

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About Derrick Lamont Jordan NPPES

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

DERRICK LAMONT JORDAN (NPI 1194039099) is an individual clinical provider in Lincolnton, North Carolina, licensed in North Carolina (C008484) and active in the NPI registry since August 2010. He maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1194039099

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDERRICK LAMONT JORDAN

Location Address311 MCBEE STLincolnton, NC 28092

Mailing Address350 Pee Dee Ave Ste 101Albemarle, NC 28001-4945 · (704) 986-1500

Phone(704) 986-1500

Sole ProprietorNo

Enumeration DateAugust 3, 2010

Last NPPES UpdateJune 5, 2019

✔ NPI 1194039099 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 NC · C008484

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

311 MCBEE ST, Lincolnton, NC 28092

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Secondary Practice Location 1

Location 11850 Pineview DrColumbia, SC 29209-5085 · Phone (803) 783-0303

Other Providers at the Same Location NPPES 12

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

HEATHER BURNS MATTISON MS, LPC-A

Counselor (Professional)