Healthcare Provider Details

I. General information

NPI: 1316852981
Provider Name (Legal Business Name): JORDAN ALEXA SCHUMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 NW 33RD ST STE 102
DORAL FL
33122-1942
US

IV. Provider business mailing address

8700 SW 79TH PL
MIAMI FL
33143-7039
US

V. Phone/Fax

Practice location:
  • Phone: 305-817-1176
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW27066
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: