| Lesley Jordan, | |
|
2903 S 5th St, Ironton, OH 45638-2866 | |
| (740) 646-6640 | |
| Not Available |
| Full Name | Lesley Jordan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2903 S 5th St, Ironton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316479967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1502393-SUPV (Ohio) | Primary |
| Entity Name | Mahajan Therapeutics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669531810 PECOS PAC ID: 8820236524 Enrollment ID: O20160809001647 |
| Entity Name | Lawrence County Recovery, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982266656 PECOS PAC ID: 8022474030 Enrollment ID: O20230517002542 |
| Mailing Address | Practice Location Address |
|---|---|
| Lesley Jordan, 2903 S 5th St, Ironton, OH 45638-2866 Ph: (740) 646-6640 | Lesley Jordan, 2903 S 5th St, Ironton, OH 45638-2866 Ph: (740) 646-6640 |
John Hurley, LISW-SUPV Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1408 Campbell Dr, Ironton, OH 45638 Phone: 740-534-9202 Fax: 740-532-4777 | |
Amanda N Richards, CDCA PRS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2903 S 5th St, Ironton, OH 45638 Phone: 740-646-6640 | |
Carol Haney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2113 S 7th St, Ironton, OH 45638 Phone: 740-533-0055 Fax: 740-533-1511 | |
Ms. Laura Renee Shope, BSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 424 Lawrence St, Ironton, OH 45638 Phone: 740-533-0055 Fax: 740-533-1511 | |
Teneka S Ferguson, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 700 Park Ave, Ironton, OH 45638 Phone: 740-532-1613 Fax: 740-879-0599 | |
Julie Toppins, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1920 S 9th St, Ironton, OH 45638 Phone: 740-479-5120 |