Mrs Holly Michelle Jordan, MSW, LICSW, AADC is a
Social Worker - Clinical based in Scott Depot, West Virginia. Mrs Holly Michelle Jordan is licensed to practice in West Virginia (license number DP00943969) and her current practice location is
97 Great Teays Blvd Ste 6, Scott Depot, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 757-6999.
NPI number for Mrs Holly Michelle Jordan is 1013229327 and her current mailing address is 97 Great Teays Blvd Ste 6, Scott Depot, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013229327.
Healthcare Provider's Profile
| Full Name | Mrs Holly Michelle Jordan |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 97 Great Teays Blvd Ste 6, Scott Depot, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013229327
- Provider Enumeration Date: 07/02/2010
- Last Update Date: 08/02/2019
Medical Identifiers
Medical identifiers for Mrs Holly Michelle Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013229327 | NPI | - | NPPES |
| 1013229327 | Medicaid | WV | |
| 3810023874 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1648 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | DP00943969 (West Virginia) | 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. Mrs Holly Michelle Jordan 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 |
|---|
Mrs Holly Michelle Jordan, MSW, LICSW, AADC
97 Great Teays Blvd Ste 6,
Scott Depot, WV 25560-9816
Ph: (304) 757-6999 | Mrs Holly Michelle Jordan, MSW, LICSW, AADC
97 Great Teays Blvd Ste 6,
Scott Depot, WV 25560-9816
Ph: (304) 757-6999 |
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