Ms Jordan Ami Dalton, LCSW, LAC is a
Social Worker - Clinical based in Dolores, Colorado. Ms Jordan Ami Dalton is licensed to practice in Colorado (license number CSW.09928551) and her current practice location is
413 Central Ave Apt D, Dolores, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 994-2808.
NPI number for Ms Jordan Ami Dalton is 1689103657 and her current mailing address is Po Box 1105, Dolores, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689103657.
Healthcare Provider's Profile
| Full Name | Ms Jordan Ami Dalton |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 413 Central Ave Apt D, Dolores, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689103657
- Provider Enumeration Date: 06/05/2017
- Last Update Date: 01/09/2025
Medical Identifiers
Medical identifiers for Ms Jordan Ami Dalton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689103657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001934 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09928551 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jordan Ami Dalton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jordan Ami Dalton, LCSW, LAC
Po Box 1105,
Dolores, CO 81323-1105
Ph: () - | Ms Jordan Ami Dalton, LCSW, LAC
413 Central Ave Apt D,
Dolores, CO 81323-8310
Ph: (719) 994-2808 |
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