Lisa L Jordan, MSW, LCSW | |
2175 Little Horn Dr, Sheridan, WY 82801-8820 | |
(307) 431-1317 | |
Not Available |
Full Name | Lisa L Jordan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2175 Little Horn Dr, Sheridan, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790800191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-451 (Wyoming) | Secondary |
1041C0700X | Social Worker - Clinical | 25291 (Minnesota) | Primary |
Entity Name | Volunteers Of America Northern Rockies |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689249682 PECOS PAC ID: 1355733015 Enrollment ID: O20220110002012 |
Mailing Address | Practice Location Address |
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Lisa L Jordan, MSW, LCSW Po Box 43, Mr 10202, Minneapolis, MN 55440-0043 Ph: (612) 262-1166 | Lisa L Jordan, MSW, LCSW 2175 Little Horn Dr, Sheridan, WY 82801-8820 Ph: (307) 431-1317 |
Ruth S Humphrey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd, Sheridan, WY 82801 Phone: 307-675-3585 | |
Crystal Rice Morse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd, Sheridan, WY 82801 Phone: 307-675-3723 | |
Pamela Kate Kennedy, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1221 W 5th St, Sheridan, WY 82801 Phone: 307-674-4405 Fax: 307-673-5167 | |
Ms. Carolyn Ann Robinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1511 Mydland Rd Lot 150, Sheridan, WY 82801 Phone: 307-752-7713 | |
Derek Waite, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd, Sheridan, WY 82801 Phone: 307-675-3150 | |
Miss Billie Jean Chapman, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd, Bldg 64, Sheridan, WY 82801 Phone: 307-675-3868 Fax: 307-675-3667 | |
Mrs. Angela Michele Brugger, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 E Loucks St, Suite 112, Sheridan, WY 82801 Phone: 307-675-1805 Fax: 307-675-1805 |