Mr Jordan Alan Coughlen, is a
Social Worker - Clinical based in Verona, Pennsylvania. Mr Jordan Alan Coughlen is licensed to practice in * (Not Available) (license number ) and his current practice location is
5932 Heberton Dr, Verona, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(949) 923-0595.
NPI number for Mr Jordan Alan Coughlen is 1992568570 and his current mailing address is 5932 Heberton Dr, Verona, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992568570.
Healthcare Provider's Profile
Full Name | Mr Jordan Alan Coughlen |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 5932 Heberton Dr, Verona, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992568570
- Provider Enumeration Date: 02/05/2024
- Last Update Date: 02/05/2024
Medical Identifiers
Medical identifiers for Mr Jordan Alan Coughlen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992568570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Mr Jordan Alan Coughlen 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 |
Mr Jordan Alan Coughlen, 5932 Heberton Dr, Verona, PA 15147-3325 Ph: (949) 923-0595 | Mr Jordan Alan Coughlen, 5932 Heberton Dr, Verona, PA 15147-3325 Ph: (949) 923-0595 |
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