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NPI Code Detail

MEDICARE: JORDYN N ALLEN MSW, LMSW

MEDICARE: JORDYN N ALLEN MSW, LMSW
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
11041C0700XClinical Social Worker2024013894MO
21041C0700XClinical Social Worker13448KS

General Provider Information

NPI Number : 1588342158
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDYN N ALLEN MSW, LMSW
Provider Business Mailing Address
First Line : 21712 W 54TH ST
Second Line :
City : SHAWNEE
State : KS
Zip : 66226-9755
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8333 E BLUE PKWY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-4750
Country : US
Telephone Number : 816-474-7677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2023
Last Update Date : 03/19/2026

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