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1447957485 NPI number — CAILYN J JORDAN LCSW

NPI Number: 1447957485
Health Care Provider/Practitioner: CAILYN J JORDAN LCSW

Information about “1447957485” NPI (CAILYN J JORDAN LCSW) exists in 1447957485 in HTML format HTML  |  1447957485 in plain Text format TXT  |  1447957485 in PDF (Portable Document Format) PDF  |  1447957485 in an XML format XML  formats.

NPI Number : 1447957485 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447957485",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JORDAN",
    "FirstName": "CAILYN",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "600 SUN TEMPLE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADISON",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35758-8643",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "256-288-3333",
    "MailingAddressFaxNumber": "256-288-3334",
    "FirstLinePracticeLocationAddress": "7101 US HIGHWAY 90",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAPHNE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36526-9512",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-701-5651",
    "PracticeLocationAddressFaxNumber": "256-429-9411",
    "EnumerationDate": "02/09/2023",
    "LastUpdateDate": "12/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "08/16/2024",
    "NPIReactivationDate": "02/04/2025",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "5888C",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "C11826",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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