Jordan, Cassandra H.

Jordan, Cassandra H. is an sole proprietor health care provider with primary practice located at 18167 Us Highway 19 N Ste 150 , Clearwater FL 33764-6566. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jordan, Cassandra H. can be contacted via phone (727) 321-3854.

Contact Information

Primary practice address
18167 Us Highway 19 N Ste 150 Clearwater FL 33764-6566
Phone: (727) 321-3854
Fax: (727) 321-7670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005373 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW12790 Florida

Profile Details

NPI number 1578767000
LBN Legal business name Jordan, Cassandra H.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Dec 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578767000 NPPES
Florida MEDICAID 113400700

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