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JORDAN SAGE SHANNON
NPI 1962351395
Social Worker in Portales, NM

Active since January 27, 2026
1500 S AVENUE K, STATION 13, PORTALES, NM 88130(575) 562-1011 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Sage Shannon NPPES

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

JORDAN SAGE SHANNON (NPI 1962351395) is an individual social worker in Portales, New Mexico and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1962351395
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJORDAN SAGE SHANNON
Location Address1500 S AVENUE K, STATION 13Portales, NM 88130-7400
Mailing Address1500 S Avenue K, Station 13Portales, NM 88130-7400 · (575) 562-1011
Phone(575) 562-1011
Sole ProprietorNo
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1962351395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1500 S AVENUE K, Portales, NM 88130
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Other Names 1

Former Name (1)Jordan Sage Klein

Other Providers at the Same Location NPPES 19

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

GABRIELA BACA
Student in an Organized Health Care Education/Training Program
1500 S AVENUE K, STATION 3, SHROC
PORTALES, NM 88130
Roosevelt County (505) 927-8228
JUSTIN R ENNIS
Emergency Medicine (Sports Medicine)
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (760) 525-2087
JAMES WILLIAM LOVELL
Speech-Language Pathologist
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (575) 562-4232
EASTERN NEW MEXICO UNIVERSITY
Speech-Language Pathologist
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (972) 367-4845
DESIREE MARIE DURRETT
Student in an Organized Health Care Education/Training Program
1500 S AVENUE K, STATION 3, SHROC
PORTALES, NM 88130
Roosevelt County (575) 562-2160
DR. TARRAH BISCH ED. D.
Specialist/Technologist (Athletic Trainer)
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (575) 562-2153
EVELYN BEARDSLEY
Student in an Organized Health Care Education/Training Program
1500 S AVENUE K, STATION 3, SHROC
PORTALES, NM 88130
Roosevelt County (575) 562-2160
BRIANNA LYNN KAUFFMANN LAT, ATC
Specialist/Technologist (Athletic Trainer)
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (800) 367-3668

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 Shannon's NPI number?

The NPI number for Jordan Shannon is 1962351395. It was assigned to this individual provider in the NPPES registry on January 27, 2026. The provider is also known as Jordan Sage Klein.

Where is Jordan Shannon located?

Jordan Shannon practices at 1500 S Avenue K Station 13, Portales, NM 88130. The listed phone number is (575) 562-1011.

What is Jordan Shannon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jordan Shannon was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.