Individual
JORDAN MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4210 MEADOWLARK LN SE, RIO RANCHO, NM 87124-1021
(505) 273-9882
Mailing address
4210 MEADOWLARK LN SE, RIO RANCHO, NM 87124-1021
(505) 877-3644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0089
NM
1041C0700X
Clinical Social Worker
Primary
X-11596
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538761093
—
NM
01
—
X-11596
PROVISIONAL LICENSE
NM
Enumeration date
07/17/2020
Last updated
03/25/2026
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