Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHAVONDA DENISE JORDAN, MSW, PLCSW,LCASA
Active Sole ProprietorMRS. SHAVONDA DENISE JORDAN, MSW, PLCSW,LCASA is a Clinical Social Worker healthcare provider located in MANNING, South Carolina. NPI 1225265986 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MANNING, SC
Registration Details
- NPI Number
- 1225265986
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2009 (17.12999317845 yrs)
- Last Updated
- Oct 29, 2014
- Licenses
-
P005024 (NC)P005024 (NC)P005024 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
215 COMMERCE STMANNING, SC, 291022638Browse SC providers · Browse ZIP 29102
- Phone
- 8034352124
- Fax
- 8034358113
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in MANNING, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. TRACY D LANNERS | LCSW | 1952590531 |
| KYNDRA JOY JOHNSON | LISW-CP | 1164136594 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.