National Provider Identifier

Jessica Jordan, LCSW

Jessica Jordan, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 368-6900.

NPI 1457508020Rochester, NYClinical Social Worker

Profile Overview

NPI
1457508020
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 26, 2008
Last Updated
December 13, 2013

Practice Location

  • 81 Lake Ave
  • Rochester, NY 14608-1410

Phone: (585) 368-6900

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1457508020
Entity Type
Individual
Last Name
Jordan
First Name
Jessica
Credential
LCSW
Mailing Street Address
81 Lake Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-1410
Mailing Country
US
Mailing Phone
(585) 368-6900
Practice Street Address
81 Lake Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-1410
Practice Country
US
Practice Phone
(585) 368-6900
Enumeration Date
August 26, 2008
Last Updated
December 13, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)