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NPI Code Detail

MEDICARE: MRS. SONIA JORDAN LMSW

MEDICARE: MRS. SONIA JORDAN 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
11041C0700XClinical Social Worker074351NY

General Provider Information

NPI Number : 1881929610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SONIA JORDAN LMSW
Provider Business Mailing Address
First Line : 1309 FOSTER AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-1511
Country : US
Telephone Number : 718-282-0010
Fax Number :
Provider Business Practice Location Address
First Line : 1309 FOSTER AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-1511
Country : US
Telephone Number : 718-282-0010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2009
Last Update Date : 10/13/2009

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Directions to “ MRS. SONIA JORDAN LMSW” Practice Location

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