Healthcare Provider Details

I. General information

NPI: 1679481428
Provider Name (Legal Business Name): JORDAN DELANEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 COLLIER DR
DECATUR GA
30032-5409
US

IV. Provider business mailing address

2325 COLLIER DR
DECATUR GA
30032-5409
US

V. Phone/Fax

Practice location:
  • Phone: 404-229-2816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberMSW012356
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: