Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN SOUTHERN
NPI 1558089300
Social Worker - Clinical in Centralia, WA

Active since August 18, 2022
1616 S GOLD ST STE 4, CENTRALIA, WA 98531(360) 261-6930 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Southern NPPES

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

JORDAN SOUTHERN (NPI 1558089300) is an individual clinical provider in Centralia, Washington and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1558089300
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJORDAN SOUTHERN
Location Address1616 S GOLD ST STE 4Centralia, WA 98531-8930
Mailing Address1902 Ahlers Ave Apt 2Centralia, WA 98531-3479
Sole ProprietorNo
Enumeration DateAugust 18, 2022
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1558089300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1616 S GOLD ST STE 4, Centralia, WA 98531

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.

Counselor
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Marriage & Family Therapist
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Case Manager/Care Coordinator
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Counselor (Addiction (Substance Use Disorder))
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Counselor
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Counselor (Addiction (Substance Use Disorder))
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Counselor
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Counselor (Mental Health)
1616 S GOLD ST STE 4
CENTRALIA, WA 98531

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 Southern's NPI number?

The NPI number for Jordan Southern is 1558089300. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Jordan Southern located?

Jordan Southern practices at 1616 S Gold St Ste 4, Centralia, WA 98531. The listed phone number is (360) 261-6930.

What is Jordan Southern'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 Southern was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.