Jordan Tyler Dewitt, MA, LMFT, LCAS is a
Marriage & Family Therapist based in Ellerbe, North Carolina. Jordan Tyler Dewitt is licensed to practice in North Carolina (license number 2160) and his current practice location is
651 Jones Springs Church Rd, Ellerbe, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 318-7416.
NPI number for Jordan Tyler Dewitt is 1679064984 and his current mailing address is 651 Jones Springs Church Rd, Ellerbe, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679064984.
Healthcare Provider's Profile
Full Name | Jordan Tyler Dewitt |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 651 Jones Springs Church Rd, Ellerbe, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679064984
- Provider Enumeration Date: 05/22/2018
- Last Update Date: 01/06/2022
Medical Identifiers
Medical identifiers for Jordan Tyler Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679064984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-24343 (North Carolina) | Secondary |
106H00000X | Marriage & Family Therapist | 12093A (North Carolina) | Secondary |
106H00000X | Marriage & Family Therapist | 2160 (North Carolina) | 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 Tyler Dewitt 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 Tyler Dewitt, MA, LMFT, LCAS 651 Jones Springs Church Rd, Ellerbe, NC 28338-8413 Ph: (910) 318-7416 | Jordan Tyler Dewitt, MA, LMFT, LCAS 651 Jones Springs Church Rd, Ellerbe, NC 28338-8413 Ph: (910) 318-7416 |
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