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MRS. JORDAN NICOLE THEPSOURINTHONE LISW
NPI 1568145308
Social Worker - Clinical in Toledo, OH

Active since August 09, 2023PECOS Enrolled
2121 HUGHES DR STE 640, TOLEDO, OH 43606(419) 291-3960 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jordan Nicole Thepsourinthone Lisw NPPES

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

MRS. JORDAN NICOLE THEPSOURINTHONE LISW (NPI 1568145308) is an individual clinical provider in Toledo, Ohio, licensed in Ohio (I.2304664) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568145308
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JORDAN NICOLE THEPSOURINTHONECredential: LISW
Location Address2121 HUGHES DR STE 640Toledo, OH 43606-5131
Mailing Address516 Brodywood DrToledo, OH 43615-4584 · (419) 215-7762
Phone(419) 291-3960
Sole ProprietorNo
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1568145308 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 OH · I.2304664
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.
2121 HUGHES DR STE 640, Toledo, OH 43606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jordan Nicole Thepsourinthone Lisw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

PEDIATRIC PULMONARY ASSOCIATES INC
Pediatrics (Pediatric Pulmonology)
2121 HUGHES DR STE 640
TOLEDO, OH 43606
Lucas County (419) 291-4261
BENJAMIN DAVID GOLDSTEIN M.D.
Pediatrics (Pediatric Pulmonology)
2121 HUGHES DR STE 640
TOLEDO, OH 43606
Lucas County (419) 291-2201

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 Thepsourinthone's NPI number?

The NPI number for Jordan Thepsourinthone is 1568145308. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Jordan Thepsourinthone located?

Jordan Thepsourinthone practices at 2121 Hughes Dr Ste 640, Toledo, OH 43606. The listed phone number is (419) 291-3960.

What is Jordan Thepsourinthone's specialty?

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

Is Jordan Thepsourinthone enrolled in Medicare?

Yes. Jordan Thepsourinthone is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Thepsourinthone accept?

Health plans from CareSource list Jordan Thepsourinthone 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 Thepsourinthone was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.