Jordan, Shavonda Denise

Jordan, Shavonda Denise is an sole proprietor health care provider with primary practice located at 215 Commerce St , Manning SC 29102-2638. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jordan, Shavonda Denise can be contacted via phone (803) 435-2124.

Contact Information

Primary practice address
215 Commerce St Manning SC 29102-2638
Phone: (803) 435-2124
Fax: (803) 435-8113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P005024 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X P005024 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X P005024 North Carolina

Profile Details

NPI number 1225265986
LBN Legal business name Jordan, Shavonda Denise
Credentials MSW, PLCSW,LCASA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2009
Last updated Oct 29th, 2014 - about 11 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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