Individual
JORDAN TAYLOR MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
1355 BEVERLY RD STE 320, MC LEAN, VA 22101-3648
(703) 556-6655
Mailing address
1355 BEVERLY RD STE 320, MC LEAN, VA 22101-3648
(703) 556-6655
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0906009777
VA
104100000X
Social Worker
LG50083247
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0906009777
SUPERVISEE IN CLINICAL SOCIAL WORK
VA
01
—
LG50083247
LGSW
DC
Enumeration date
04/28/2020
Last updated
04/28/2020
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