Jordan, Marie Endy

Jordan, Marie Endy is an individual health care provider with primary practice located at 436 State St , Marion NC 28752-4029. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jordan, Marie Endy can be contacted via phone (828) 442-5015.

Contact Information

Primary practice address
436 State St Marion NC 28752-4029
Phone: (828) 442-5015
Fax: (828) 665-4354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003031 North Carolina

Profile Details

NPI number 1467578740
LBN Legal business name Jordan, Marie Endy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 9th, 2007 - about 17 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 1467578740 NPPES
North Carolina MEDICAID 6002204
North Carolina Other 130WU

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