Individual
JEFFREY LEE JORDY
Active
Individual
JEFFREY LEE JORDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C-12097
NM
101YM0800X
Mental Health Counselor
CW021943
PA
1041C0700X
Clinical Social Worker
0904019267
VA
1041C0700X
Clinical Social Worker
137520
CA
1041C0700X
Clinical Social Worker
Primary
C-12097
NM
1041C0700X
Clinical Social Worker
CW021943
PA
1041C0700X
Clinical Social Worker
LC25356
ME
Other
Enumeration date
02/13/2022
Last updated
07/01/2026
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