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MRS. MARY E. JORDAN-CHURCH LCSW
NPI 1336471630
Social Worker - Clinical in Clovis, CA

Active since February 11, 2010PECOS Enrolled
2942 MAINE AVE, CLOVIS, CA 93619(559) 259-4481 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Mary E. Jordan-church Lcsw NPPES

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

MRS. MARY E. JORDAN-CHURCH LCSW (NPI 1336471630) is an individual clinical provider in Clovis, California, licensed in California (LCS 24068) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336471630
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARY E. JORDAN-CHURCHCredential: LCSW
Location Address2942 MAINE AVEClovis, CA 93619-9288
Mailing Address2942 Maine AveClovis, CA 93619-9288 · (559) 251-0148
Phone(559) 259-4481
Sole ProprietorYes
Enumeration DateFebruary 11, 2010
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1336471630 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 CA · LCS 24068
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.
2942 MAINE AVE, Clovis, CA 93619
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary E. Jordan-church 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 Mary Jordan-church reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Behavioral Care Of California, P.C.
220 mi
Clinical
8300 UTICA AVE STE 245
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1417718297 (909) 989-4055

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93619 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Mary Jordan-church's NPI number?

The NPI number for Mary Jordan-church is 1336471630. It was assigned to this individual provider in the NPPES registry on February 11, 2010.

Where is Mary Jordan-church located?

Mary Jordan-church practices at 2942 Maine Ave, Clovis, CA 93619. The listed phone number is (559) 259-4481.

What is Mary Jordan-church's specialty?

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

Is Mary Jordan-church enrolled in Medicare?

Yes. Mary Jordan-church is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Jordan-church's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jordan-church reassigns Medicare benefits to Optum Behavioral Care Of California, P.C. (Rancho Cucamonga, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Jordan-church's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Jordan-church was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.