Healthcare Provider Details

I. General information

NPI: 1497145486
Provider Name (Legal Business Name): JORDAN CLAIRE DRUMMOND LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JORDAN CLAIRE LACHAPELLE LICSW

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 01/13/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33840 13TH PLACE SOUTH
FEDERAL WAY WA
98003-6357
US

IV. Provider business mailing address

33480 13TH PL S
FEDERAL WAY WA
98003-6357
US

V. Phone/Fax

Practice location:
  • Phone: 253-285-7101
  • Fax: 253-874-7768
Mailing address:
  • Phone: 253-285-7101
  • Fax: 253-874-7768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60518043
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: