Mrs Shavonda Denise Jordan, MSW, PLCSW,LCASA is a
Social Worker - Clinical based in Manning, South Carolina. Mrs Shavonda Denise Jordan is licensed to practice in North Carolina (license number P005024) and her current practice location is
215 Commerce St, Manning, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 435-2124.
NPI number for Mrs Shavonda Denise Jordan is 1225265986 and her current mailing address is 215 N Magnolia St, Sumter, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225265986.
Healthcare Provider's Profile
| Full Name | Mrs Shavonda Denise Jordan |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 215 Commerce St, Manning, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225265986
- Provider Enumeration Date: 06/19/2009
- Last Update Date: 10/29/2014
Medical Identifiers
Medical identifiers for Mrs Shavonda Denise Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225265986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | P005024 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | P005024 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P005024 (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. Mrs Shavonda Denise 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 |
|---|
Mrs Shavonda Denise Jordan, MSW, PLCSW,LCASA
215 N Magnolia St,
Sumter, SC 29151-4943
Ph: (803) 775-9364 | Mrs Shavonda Denise Jordan, MSW, PLCSW,LCASA
215 Commerce St,
Manning, SC 29102-2638
Ph: (803) 435-2124 |
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