Allison Dolores Jordan, is a
Social Worker - Clinical based in Santa Cruz, California. Allison Dolores Jordan is licensed to practice in California (license number ASW125170) and her current practice location is
14oo Emeline Ave, K, Santa Cruz, California. She can be reached at her office (for appointments etc.) via phone at
(831) 345-3497.
NPI number for Allison Dolores Jordan is 1871055566 and her current mailing address is 1400 Emeline Ave Bldg K, Santa Cruz, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871055566.
Healthcare Provider's Profile
| Full Name | Allison Dolores Jordan |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 14oo Emeline Ave, Santa Cruz, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871055566
- Provider Enumeration Date: 04/02/2019
- Last Update Date: 08/26/2024
Medical Identifiers
Medical identifiers for Allison Dolores Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871055566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW125170 (California) | 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. Allison Dolores Jordan 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 |
|---|
Allison Dolores Jordan,
1400 Emeline Ave Bldg K,
Santa Cruz, CA 95060-1976
Ph: (831) 345-3497 | Allison Dolores Jordan,
14oo Emeline Ave, K,
Santa Cruz, CA 95060-1976
Ph: (831) 345-3497 |
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