Individual
JERRY MONROE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHS
Contact information
Practice address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
Mailing address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2513006
OH
1041C0700X
Clinical Social Worker
Primary
S.2513006
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/30/2019
Last updated
03/05/2026
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