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MRS. JORDAN GULLEY LICSW
NPI 1851050439
Social Worker - Clinical in Alexandria, VA

Active since December 10, 2021Opted out of Medicare · through Nov 28, 2027
800 JOHN CARLYLE ST APT 313, ALEXANDRIA, VA 22314(804) 366-6823 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jordan Gulley Licsw NPPES

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

MRS. JORDAN GULLEY LICSW (NPI 1851050439) is an individual clinical provider in Alexandria, Virginia, licensed in District Of Columbia (LC50081232) and active in the NPI registry since December 2021. She has opted out of Medicare through November 28, 2027.

NPPES Registry Identity

NPI1851050439
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JORDAN GULLEYCredential: LICSW
Location Address800 JOHN CARLYLE ST APT 313Alexandria, VA 22314-6849
Mailing Address800 John Carlyle St Apt 313Alexandria, VA 22314-6849 · (804) 366-6823
Phone(804) 366-6823
Sole ProprietorYes
Enumeration DateDecember 10, 2021
NPPES CertifiedDecember 10, 2021
✔ NPI 1851050439 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 DC · LC50081232
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.
800 JOHN CARLYLE ST APT 313, Alexandria, VA 22314
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Other Identifiers 1

Other0DC · Various

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jordan Gulley Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 28, 2023 through November 28, 2027.

Opt-Out Effective DateNovember 28, 2023
Opt-Out In Effect ThroughNovember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Gulley's NPI number?

The NPI number for Jordan Gulley is 1851050439. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Where is Jordan Gulley located?

Jordan Gulley practices at 800 John Carlyle St Apt 313, Alexandria, VA 22314. The listed phone number is (804) 366-6823.

What is Jordan Gulley's specialty?

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

Is Jordan Gulley enrolled in Medicare?

No. Jordan Gulley has opted out of Medicare through November 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jordan Gulley was last updated on December 10, 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.