Jordan Damp, is a
Social Worker based in San Leandro, California. Jordan Damp is licensed to practice in California (license number 62131) and his current practice location is
2275 Arlington Dr, San Leandro, California. He can be reached at his office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Jordan Damp is 1700284718 and his current mailing address is 2275 Arlington Dr, San Leandro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700284718.
Healthcare Provider's Profile
| Full Name | Jordan Damp |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 2275 Arlington Dr, San Leandro, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700284718
- Provider Enumeration Date: 12/08/2014
- Last Update Date: 04/02/2015
Medical Identifiers
Medical identifiers for Jordan Damp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700284718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 62131 (California) | Secondary |
| 104100000X | Social Worker | 62131 (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. Jordan Damp 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 |
|---|
Jordan Damp,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Jordan Damp,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 |
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