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
Fax: (607) 778-1164
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770524415 NPPES
New York MEDICAID 07300074648

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