MEDICARE: JORDAN ELIZABETH STONE MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1316873730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN ELIZABETH STONE MSW

Provider Business Mailing Address
First Line	:	4628 PARKWOOD DR
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16510-6332
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4628 PARKWOOD DR
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16510-6332
Country	:	US
Telephone Number	:	814-923-8392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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