Menyuan Jordan, LCSW | |
107 Enterprise Path Ste 300, Hiram, GA 30141-2690 | |
(678) 588-7982 | |
Not Available |
Full Name | Menyuan Jordan |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 17 Years |
Location | 107 Enterprise Path Ste 300, Hiram, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639839863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW007869 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Northrop Connection, Llc | 6800104506 | 4 |
Sondermind Provider Network Llc | 9537572490 | 485 |
Entity Name | Highland Rivers Community Service Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204 |
Entity Name | The Northrop Connection, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912398868 PECOS PAC ID: 6800104506 Enrollment ID: O20150929003498 |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
Mailing Address | Practice Location Address |
---|---|
Menyuan Jordan, LCSW 107 Enterprise Path Ste 300, Hiram, GA 30141-2690 Ph: (678) 588-7982 | Menyuan Jordan, LCSW 107 Enterprise Path Ste 300, Hiram, GA 30141-2690 Ph: (678) 588-7982 |
Mrs. Shannon Davidson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Enterprise Path Ste 201, Hiram, GA 30141 Phone: 678-682-0405 | |
Kimberly Bryant, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Enterprise Path, Hiram, GA 30141 Phone: 678-567-0920 | |
Timothy James Whailen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Enterprise Path Ste 301, Hiram, GA 30141 Phone: 706-509-0130 Fax: 706-237-6503 | |
Edward Miguel Valentin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 126 Enterprise Path Ste 104b, Hiram, GA 30141 Phone: 770-256-7078 |