Healthcare Provider Details

I. General information

NPI: 1386069698
Provider Name (Legal Business Name): MS. JORDAN STONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JORDAN HOWELL LCSW

II. Dates (important events)

Enumeration Date: 02/24/2014
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CRESTWOOD EXECUTIVE CTR STE 308
SAINT LOUIS MO
63126-1900
US

IV. Provider business mailing address

50 CRESTWOOD EXECUTIVE CTR STE 308
SAINT LOUIS MO
63126-1900
US

V. Phone/Fax

Practice location:
  • Phone: 314-408-7676
  • Fax: 314-328-5453
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2023011406
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: