JORDAN ASHLEY DUDLEY LCSW-A
NPI 1427787159
Social Worker - Clinical in Jacksonville, NC

Active since June 08, 2022Opted out of Medicare · through Jun 3, 2027
2457 GUM BRANCH RD STE 800, JACKSONVILLE, NC 28540(910) 238-2774 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Ashley Dudley Lcsw-a NPPES

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

JORDAN ASHLEY DUDLEY LCSW-A (NPI 1427787159) is an individual clinical provider in Jacksonville, North Carolina, licensed in North Carolina (P017579) and active in the NPI registry since June 2022. She has opted out of Medicare through June 3, 2027.

NPPES Registry Identity

NPI1427787159
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJORDAN ASHLEY DUDLEYCredential: LCSW-A
Location Address2457 GUM BRANCH RD STE 800Jacksonville, NC 28540-4008
Mailing Address305 High Stepper CtJacksonville, NC 28540-8007 · (909) 730-0997
Sole ProprietorNo
Enumeration DateJune 8, 2022
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 9, 2022
NPI 1427787159 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 · P017579
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License P017579 (NC)
2457 GUM BRANCH RD STE 800, Jacksonville, NC 28540

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jordan Ashley Dudley Lcsw-a has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 3, 2025 through June 3, 2027.

Opt-Out Effective DateJune 3, 2025
Opt-Out In Effect ThroughJune 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
2457 GUM BRANCH RD STE 800
JACKSONVILLE, NC 28540
Social Worker (Clinical)
2457 GUM BRANCH RD STE 800
JACKSONVILLE, NC 28540
Social Worker (Clinical)
2457 GUM BRANCH RD STE 800
JACKSONVILLE, NC 28540
Counselor (Mental Health)
2457 GUM BRANCH RD STE 800
JACKSONVILLE, NC 28540
Psychologist
2457 GUM BRANCH RD STE 800
JACKSONVILLE, NC 28540
Social Worker (Clinical)
2457 GUM BRANCH RD STE 800
JACKSONVILLE, NC 28540
Social Worker (Clinical)
2457 GUM BRANCH RD STE 800
JACKSONVILLE, NC 28540

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 Dudley's NPI number?

The NPI number for Jordan Dudley is 1427787159. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Jordan Dudley located?

Jordan Dudley practices at 2457 Gum Branch Rd Ste 800, Jacksonville, NC 28540. The listed phone number is (910) 238-2774.

What is Jordan Dudley's specialty?

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

Is Jordan Dudley enrolled in Medicare?

No. Jordan Dudley has opted out of Medicare through June 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jordan Dudley accept?

Health plans from Blue Cross and Blue Shield of NC list Jordan Dudley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Dudley was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.