Jordan, Patricia S
Jordan, Patricia S is an individual health care provider with primary practice located at 1 Hawley St , Binghamton NY 13901-3102. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jordan, Patricia S can be contacted via phone (607) 778-1111.Contact Information
Primary practice address
1 Hawley St
Binghamton NY 13901-3102
Phone: (607) 778-1111
Fax: (607) 778-1164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 074648 | New York |
Profile Details
| NPI number | 1770524415 |
|---|---|
| LBN Legal business name | Jordan, Patricia S |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770524415 | NPPES |
| New York | MEDICAID | 07300074648 |
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