MAUDEEN GRACE JORDAN (NPI# 1124286125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124286125 |
| Entity Type | Individual |
| Full Name | MAUDEEN GRACE JORDAN |
| Credential | LCSW |
| Practice Address |
2004 Main St Suite 203 Forest Grove OR 97116-2349 |
| Mailing Address |
9335 Sw Birdie Dr Cornelius OR 97113-9621 |
| Practice Telephone | 5039986803 |
| Mailing Telephone | 5039986803 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW 3139 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSE IN CLINICAL SOCIAL WORK | LCSW 3139 | 01 |
| Street Address |
2004 MAIN ST SUITE 203 |
| City | FOREST GROVE |
| State | OR |
| Zip Code | 97116-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
| 1518088012 | Tonnie Irene White | Massage Therapist | 2004 Main St, Ste 202, Forest Grove, OR 97116 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
| 1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
| 1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
| 1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
| 1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
| 1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
| 1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
| 1063573970 | James D Surface | Physical Therapist | 1909 Mountain View Ln #300, Forest Grove, OR 97116 | 2006-12-13 |
| Find all providers in zip 97116 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619165677 | Karen Ann Eggers | Social Worker | 2315 Pacific Ave, 303, Forest Grove, OR 97116-2449 | 2007-10-04 |
| 1114079696 | Agnes Abel | Social Worker | 1911 Mt View Ln, #500, Forest Grove, OR 97116-2248 | 2007-01-17 |
| 1487723607 | Tracy Waters | Social Worker | 2036 Main St, Suite 204, Forest Grove, OR 97116-2374 | 2006-11-06 |
| 1124666524 | Rebecca Arredondo Yazzie | Social Worker | 2031 Hawthorne St Ste C, Forest Grove, OR 97116-1700 | 2019-12-16 |
| 1851677041 | Samuel William Gioia | Social Worker | 2036 Main St, Forest Grove, OR 97116-2374 | 2011-11-01 |
| 1659517894 | Paul E Sorenson | Social Worker | 1909 Mountain View Ln, Ste 200, Forest Grove, OR 97116-2894 | 2008-12-17 |
| 1669679783 | Brooke Miller | Social Worker | 4110 Pacific Ave, Suite 102, Forest Grove, OR 97116-2383 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942015 | Cynthia Stidd, Lcsw, LLC | Social Worker | 60831 Windsor Dr, Bend, OR 97702-9502 | 2020-11-07 |
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1558961755 | Audrey Schwartz, Lcsw, Lcc | Social Worker | 1518 W 25th Ave, Eugene, OR 97405-1817 | 2020-10-27 |
| 1013516574 | Kathleen Elizabeth Preuss | Social Worker | 14075 Sw Chinn Ln Apt 337, Tigard, OR 97224-0934 | 2020-10-25 |
| 1790384238 | Amy R Duryea Lcsw LLC | Social Worker | 3108 Ne Elizabeth Ct, Bend, OR 97701-7600 | 2020-10-24 |
| 1164021044 | Frederick Dygert, Lcsw | Social Worker | 1445 Willamette St Ste 2b, Eugene, OR 97401-4087 | 2020-10-21 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1740887249 | Bethany Anne Harvey | Social Worker | 14020 Se Briggs St, Milwaukie, OR 97267-1503 | 2020-10-07 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | FOREST GROVE |
| Zip Code | 97116 |
Please comment or provide details below to improve the information on MAUDEEN GRACE JORDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.