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

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
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: July 19, 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 and is a graduate of Other (2019).

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
Medical School CMSOtherGraduated 2019
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. De'mone' Camil Jordan Lcsw, Lcas-a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597155382
PECOS Enrollment IDI20211210000028
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 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
Advanced Practice Midwife
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780212308, enumerated as an "individual" on March 30, 2020.

The provider is located at 1381 MEDICAL CENTER DR ROANOKE RAPIDS, NC 27870 and the phone number is (252) 519-2955.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.