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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JORDAN JAY LITVAK, LICENSED CLINICAL SO

Active Sole Proprietor

MR. JORDAN JAY LITVAK, LICENSED CLINICAL SO is a Clinical Social Worker healthcare provider located in SPRINGFIELD, Illinois. NPI 1609315662 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SPRINGFIELD, IL

Registration Details

NPI Number
1609315662
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2017 (9.4593257755859 yrs)
Last Updated
Jun 16, 2018
Licenses
C-10292 (NM)
149-003693 (IL)
Sole Proprietor
Yes

Practice Information

Address
2200 BOYSENBERRY LN APT 2
SPRINGFIELD, IL, 627115403
Browse IL providers · Browse ZIP 62711
Phone
2179718836
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in SPRINGFIELD, IL

Name Credential NPI
VIRGINIA L THOMPSON LCSW 1093703068
KATHY LEE KENT M.S.W. 1376526798
MS. KELLY LAROSA LCSW 1255303830
RUTA R. KULYS LCSW 1801865282
LIZABETH D. STRATTON LCSW 1518926708
REBECCA A. SHAW LCSW 1265491468
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.