Koski, Jordyn Ann
Koski, Jordyn Ann is an individual health care provider with primary practice located at 2624 9Th Ave S , Fargo ND 58103-2350. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koski, Jordyn Ann can be contacted via phone (701) 298-4500.Contact Information
Primary practice address
2624 9Th Ave S
Fargo ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5017 | North Dakota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 24379 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4262 | Nebraska |
Profile Details
| NPI number | 1568815959 |
|---|---|
| LBN Legal business name | Koski, Jordyn Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2016 |
| Last updated | Jun 25th, 2026 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568815959 | NPPES |
| North Dakota | MEDICAID | 1468651 |
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