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

JORDAN SAGE SHANNON

Active

JORDAN SAGE SHANNON is a Social Worker healthcare provider located in PORTALES, New Mexico. NPI 1962351395 is currently active in the NPPES registry. Verify at CMS.

Social Worker · PORTALES, NM

Registration Details

NPI Number
1962351395
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2026 (0.58761452745488 yrs)
Last Updated
Jan 27, 2026

Practice Information

Address
1500 S AVENUE K
STATION 13
PORTALES, NM, 881307400
Browse NM providers · Browse ZIP 88130
Phone
5755621011
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in PORTALES, NM

Name Credential NPI
MRS. RENAE F HIPP LMSW 1235281478
CHRISTIAN JACOB GARCIA LMSW 1215465067
JAMIE TWOFOOT LMSW 1578232773
ANDREA MARGARITA MARTIN 1861203473
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.