JORDAN BOYER WALTERS
NPI 1467046052
Social Worker - Clinical in Edwardsville, IL

Active since February 24, 2021
503 E VANDALIA ST, EDWARDSVILLE, IL 62025(618) 432-2331 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2026, Feb 24, 2021 (2 updates tracked since 2021).

About Jordan Boyer Walters NPPES

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

JORDAN BOYER WALTERS (NPI 1467046052) is an individual clinical provider in Edwardsville, Illinois, licensed in Illinois (149022560) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1467046052
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJORDAN BOYER WALTERS
Location Address503 E VANDALIA STEdwardsville, IL 62025-1893
Mailing Address3328 Drysdale CtEdwardsville, IL 62025-3217 · (217) 273-1849
Sole ProprietorYes
Enumeration DateFebruary 24, 2021
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1467046052 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 IL · 149022560
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.

503 E VANDALIA ST, Edwardsville, IL 62025

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
503 E VANDALIA ST
EDWARDSVILLE, IL 62025
Chiropractor
503 E VANDALIA ST
EDWARDSVILLE, IL 62025

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 Walters's NPI number?

The NPI number for Jordan Walters is 1467046052. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Jordan Walters located?

Jordan Walters practices at 503 E Vandalia St, Edwardsville, IL 62025. The listed phone number is (618) 432-2331.

What is Jordan Walters's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Walters was last updated on March 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.