National Provider Identifier
Scott Jordan, LCSW, CASAC
Scott Jordan, LCSW, CASAC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 884-5797.
Profile Overview
- NPI
- 1790860294
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 25, 2006
- Last Updated
- September 11, 2025
Practice Location
- 1235 Main St
- Buffalo, NY 14209-2111
Phone: (716) 884-5797
Mailing Address
- 227 Thorn Avenue Box 631
- Orchard Park, NY 14127
Specialties
- Clinical Social Worker (1041C0700X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1790860294
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Scott
- Credential
- LCSW, CASAC
- Mailing Street Address
- 227 Thorn Avenue Box 631
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127
- Mailing Country
- US
- Mailing Phone
- (716) 662-2040
- Mailing Fax
- (716) 662-0019
- Practice Street Address
- 1235 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2111
- Practice Country
- US
- Practice Phone
- (716) 884-5797
- Practice Fax
- (716) 884-4938
- Enumeration Date
- October 25, 2006
- Last Updated
- September 11, 2025
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 000528699001 (NY, BCBS)