Individual
ELISE LYNNE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
51 SW LEE ST, NEWPORT, OR 97365-3823
(541) 574-5960
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
(844) 760-0526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
L11440
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500775573
—
OR
Enumeration date
01/13/2020
Last updated
02/26/2026
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