JORDAN BEACH
NPI 1336830470
Social Worker - Clinical in Evansville, IN

Active since May 18, 2023
3601 RODENBERG AVE, EVANSVILLE, IN 47720(812) 575-9472 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jordan Beach NPPES

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

JORDAN BEACH (NPI 1336830470) is an individual clinical provider in Evansville, Indiana, licensed in Indiana (34009218A) and active in the NPI registry since May 2023.Information from the official NPPES registry record, last updated May 18, 2023.

NPPES Registry Identity

NPI1336830470
Entity TypeIndividualFemale
Provider Legal NameJORDAN BEACH
Location Address3601 RODENBERG AVEEvansville, IN 47720-6155
Mailing Address3601 Rodenberg AveEvansville, IN 47720-6155
Sole ProprietorYes
Enumeration DateMay 18, 2023
NPPES CertifiedMay 18, 2023
NPI 1336830470 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Social Worker · Clinical

Taxonomy 1041C0700X · Behavioral Health & Social Service Providers

Licensed in IN · 34009218A

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… Show more

3601 RODENBERG AVE, Evansville, IN 47720

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336830470, enumerated as an "individual" on May 18, 2023.

The provider is located at 3601 RODENBERG AVE EVANSVILLE, IN 47720 and the phone number is (812) 575-9472.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.