MEDICARE: MR. JORDAN WADDELL DANIELS LMSW

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	104100000X	Social Worker	34949	MD

General Provider Information

NPI Number	:	1811821713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JORDAN WADDELL DANIELS LMSW

Provider Business Mailing Address
First Line	:	11 BIRCHBROOK CT
Second Line	:
City	:	NOTTINGHAM
State	:	MD
Zip	:	21236-5006
Country	:	US
Telephone Number	:	443-686-2321
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 E JOPPA RD BLDG B2ND
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-5811
Country	:	US
Telephone Number	:	443-243-3193
Fax Number	:

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

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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