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NPI Code Detail

MEDICARE: MRS. WHITNEY JEAN JORDAN LCSW

MEDICARE: MRS. WHITNEY JEAN JORDAN LCSW
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
11041C0700XClinical Social WorkerCW024081PA

General Provider Information

NPI Number : 1740687078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WHITNEY JEAN JORDAN LCSW
Provider Business Mailing Address
First Line : 655 CHERRY TREE LN STE 704
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-8947
Country : US
Telephone Number : 724-415-9169
Fax Number : 724-415-5575
Provider Business Practice Location Address
First Line : 655 CHERRY TREE LN
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-8947
Country : US
Telephone Number : 724-415-9169
Fax Number : 724-415-5575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2014
Last Update Date : 03/10/2026

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