MS. DE'MONE' CAMIL JORDAN LCSW, LCAS-A
NPI 1780212308
Social Worker - Clinical in Roanoke Rapids, NC

Active since March 30, 2020PECOS Enrolled
1381 MEDICAL CENTER DR, ROANOKE RAPIDS, NC 27870(252) 519-2955(252) 519-0655 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2021, Mar 30, 2020 (2 updates tracked since 2020).

About Ms. De'mone' Camil Jordan Lcsw, Lcas-a NPPES

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

MS. DE'MONE' CAMIL JORDAN LCSW, LCAS-A (NPI 1780212308) is an individual clinical provider in Roanoke Rapids, North Carolina, licensed in North Carolina (C014449) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780212308
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DE'MONE' CAMIL JORDANCredential: LCSW, LCAS-A
Location Address1381 MEDICAL CENTER DRRoanoke Rapids, NC 27870-5130
Mailing AddressPo Box 640Roanoke Rapids, NC 27870-0640 · (252) 536-5440 · Fax (252) 536-5444
Fax(252) 519-0655
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1780212308 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 NC · C014449
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.
1381 MEDICAL CENTER DR, Roanoke Rapids, NC 27870

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. De'mone' Camil Jordan Lcsw, Lcas-a 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 De'mone' Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
270 SMITH CHURCH RD
Roanoke Rapids, NC 27870
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1871081000 (North Carolina)
  • 42 clinicians in this Medicare group

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 27870 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 6

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

Obstetrics & Gynecology
1381 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
Clinic/Center (Federally Qualified Health Center (FQHC))
1381 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
Obstetrics & Gynecology
1381 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
Obstetrics & Gynecology
1381 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
Obstetrics & Gynecology
1381 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
Advanced Practice Midwife
1381 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870

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 De'mone' Jordan's NPI number?

The NPI number for De'mone' Jordan is 1780212308. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is De'mone' Jordan located?

De'mone' Jordan practices at 1381 Medical Center Dr, Roanoke Rapids, NC 27870. The listed phone number is (252) 519-2955.

What is De'mone' Jordan's specialty?

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

Is De'mone' Jordan enrolled in Medicare?

Yes. De'mone' Jordan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for De'mone' Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), De'mone' Jordan reassigns Medicare benefits to Rural Health Group, Inc. (Roanoke Rapids, NC). 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 De'mone' Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does De'mone' Jordan accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list De'mone' 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 De'mone' Jordan was last updated on November 29, 2021. 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.