Healthcare Provider Details

I. General information

NPI: 1285564286
Provider Name (Legal Business Name): JORDYN JONDLE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10574 JUSTIN DR
URBANDALE IA
50322-3730
US

IV. Provider business mailing address

1805 NW 9TH ST
ANKENY IA
50023-1448
US

V. Phone/Fax

Practice location:
  • Phone: 515-499-4959
  • Fax:
Mailing address:
  • Phone: 515-293-0887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number137834
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: