TRACY JORDAN (NPI# 1770672297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770672297 |
| Entity Type | Individual |
| Full Name | TRACY JORDAN |
| Credential | LCSW-C |
| Practice Address |
30 Greenway St Nw Ste 5 Glen Burnie MD 21061-3557 |
| Practice Telephone | 4107609079 |
| Practice Fax Number | 4107601121 |
| Mailing Telephone | 4107609079 |
| Mailing Fax Number | 4107601121 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 12109 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265726319 | Tracy Jordan | Pharmacist | 1845 Grandstand Pl Ste 300, Genoa Healthcare 106, Elgin, IL 60123-4987 | 2011-06-07 |
| 1700428737 | Tracy Jordan | Psychologist | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2019-10-10 |
| 1063880664 | Tracy A. Jordan | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2015-09-13 |
| 1205176708 | Tracy Denice Jordan | Dental Assistant | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2013-02-20 |
| 1487926671 | Tracy Minchew Jordan | Nurse Practitioner | 2104 Loop Rd, Suite C, Winnsboro, LA 71295-3338 | 2012-02-02 |
| 1366503518 | Tracy W Jordan | Physical Therapist | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2006-12-12 |
| Street Address |
30 GREENWAY ST NW STE 5 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-3557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245292267 | Jill Marie Camm | Social Worker | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2006-04-05 |
| 1376170308 | Angela Marie Ware | Counselor | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2020-03-27 |
| 1407303811 | Jill Nicole Varelli | Social Worker | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2016-09-01 |
| 1508220401 | Amanda Ducharme | Counselor | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2016-04-07 |
| 1902289010 | Rachel E Keller | Social Worker | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2015-07-07 |
| 1699184200 | Karey Morgan Steiner | Social Worker | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2014-08-07 |
| 1821405143 | Sarah Horsey Simpson | Psychologist | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2014-07-18 |
| 1033553565 | Kevin Richard Gormley | Psychologist | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2013-04-26 |
| 1326314642 | Susan Patricia Egelanian | Social Worker | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2012-03-30 |
| 1275706525 | Cynthia Ann Bourret | Psychologist | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788904 | Jamika White | Social Worker | 1478 Braden Loop, Glen Burnie, MD 21061-5017 | 2020-07-23 |
| 1679191456 | Soul 2 Sole Wellness, LLC | Social Worker | 400 Renfro Dr Unit 311, Glen Burnie, MD 21060-3605 | 2020-07-08 |
| 1730745951 | Jawann K Wills | Social Worker | 410 Starwood Dr Apt A, Glen Burnie, MD 21061-6018 | 2019-05-13 |
| 1215557822 | Elizabeth Ajoke Onayiga | Social Worker | 516 Marley Station Rd, Glen Burnie, MD 21060-7717 | 2020-04-23 |
| 1568091726 | Dara Dominique Crawley | Social Worker | 7954 Baltimore Annapolis Blvd, Glen Burnie, MD 21060-8188 | 2020-04-08 |
| 1255962841 | David Jessie Idemudia | Social Worker | 200 Hospital Dr Ste 300, Glen Burnie, MD 21061-5884 | 2020-02-01 |
| 1134695588 | William Christopher Willis Jr. | Social Worker | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 | 2018-10-23 |
| 1730601873 | Brandon F Williams | Social Worker | 1406 Crain Hwy S, Glen Burnie, MD 21061-4058 | 2017-07-11 |
| 1902289010 | Rachel E Keller | Social Worker | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2015-07-07 |
| 1063760163 | Cassie Mariscal | Social Worker | 200 Hospital Dr, Suite 300, Glen Burnie, MD 21061-5884 | 2012-08-21 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on TRACY 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.