MEDICARE: JORDYN WALKER

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	1041C0700X	Clinical Social Worker	CSW.09927710	CO

General Provider Information

NPI Number	:	1427826163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDYN WALKER

Provider Business Mailing Address
First Line	:	9029 E MISSISSIPPI AVE APT M101
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-6808
Country	:	US
Telephone Number	:	240-715-5403
Fax Number	:

Provider Business Practice Location Address
First Line	:	5888 BEELER CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2376
Country	:	US
Telephone Number	:	720-235-8904
Fax Number	:

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

Provider Enumeration Date	:	12/12/2023
Last Update Date	:	04/06/2025

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Directions to “ JORDYN WALKER ” Practice Location

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