MEDICARE: KARIN JORDAN LCDCIII

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCDCIII.031047	OH

General Provider Information

NPI Number	:	1275029795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIN JORDAN LCDCIII

Provider Business Mailing Address
First Line	:	4800 PAYNE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-2443
Country	:	US
Telephone Number	:	216-231-7700
Fax Number	:	216-231-3828

Provider Business Practice Location Address
First Line	:	9127 MILES AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-6136
Country	:	US
Telephone Number	:	216-325-6544
Fax Number	:	216-441-3968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2018
Last Update Date	:	07/09/2018

Similar Medicare Providers

1396093597 — NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
Practice Location Address:

9127 MILES AVE
CLEVELAND, OH
44105-6136

Practice Phone: 216-231-7700
Practice Fax:

1124487681 — NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
Practice Location Address:

9127 MILES AVE
CLEVELAND, OH
44105-6136

Practice Phone: 216-325-6544
Practice Fax: 216-441-3968

1306290127 — MRS. MARIA HUARTE M.D.
Practice Location Address:

9500 EUCLID AVE
CLEVELAND, OH
44195-6136

Practice Phone: 216-444-6550
Practice Fax:

1629783360 — CATHERINE DENISE HALL ASSOCIATES DEGREE
Practice Location Address:

6726 SEBERT AVE
CLEVELAND, OH
44105-1438

Practice Phone: 216-420-3836
Practice Fax:

1316800535 — NEVAEH E HEAD
Practice Location Address:

3983 E 120TH ST
CLEVELAND, OH
44105-4575

Practice Phone: 216-224-7677
Practice Fax: 216-224-7677

1922864214 — YOKO FERRELL
Practice Location Address:

3983 E 120TH ST
CLEVELAND, OH
44105-4575

Practice Phone: 216-937-5355
Practice Fax:

Directions to “ KARIN JORDAN LCDCIII” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.