# LISA L JORDAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790800191
- **Gender:** F
- **Credential:** MSW, LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 25291 | MN | Yes |
| 1041C0700X | Clinical Social Worker | LCSW-451 | WY | — |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 02/21/2020