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KATELYNN FAITH JORDAN LCSW
NPI 1770191942
Social Worker - Clinical in Manchester, CT

Active since July 14, 2020PECOS Enrolled
97 S MAIN ST, MANCHESTER, CT 06040(860) 470-6002 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2023, Jul 14, 2020 (2 updates tracked since 2020).

About Katelynn Faith Jordan Lcsw NPPES

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

KATELYNN FAITH JORDAN LCSW (NPI 1770191942) is an individual clinical provider in Manchester, Connecticut, licensed in Connecticut (013185) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770191942
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYNN FAITH JORDANCredential: LCSW
Location Address97 S MAIN STManchester, CT 06040-6526
Mailing Address97 S Main StManchester, CT 06040-6526 · (860) 470-6002
Phone(860) 470-6002
Sole ProprietorNo
Enumeration DateJuly 14, 2020
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1770191942 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 CT · 013185
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.
97 S MAIN ST, Manchester, CT 06040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelynn Faith Jordan Lcsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Katelynn Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Williams Counseling, LLC
Same address
Clinical
97 MAIN STREET
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 10 clinicians in this Medicare group
NPI 1982373825 (860) 470-6002

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06040 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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

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

RANDALL PEKARI LPC
Counselor (Professional)
97 S MAIN ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 470-6002

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 Katelynn Jordan's NPI number?

The NPI number for Katelynn Jordan is 1770191942. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Katelynn Jordan located?

Katelynn Jordan practices at 97 S Main St, Manchester, CT 06040. The listed phone number is (860) 470-6002.

What is Katelynn Jordan's specialty?

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

Is Katelynn Jordan enrolled in Medicare?

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

Which organization bills Medicare for Katelynn Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelynn Jordan reassigns Medicare benefits to Williams Counseling, LLC (Manchester, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelynn Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelynn Jordan accept?

Health plans from Anthem Blue Cross and Blue Shield list Katelynn Jordan 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 Katelynn Jordan was last updated on August 28, 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.