Doctor Name: | MR. MICHAEL CHRISTOPHER JORDAN |
NPI Number: | 1962695338 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSS, LCSW |
License Number: | CW015784 |
Business Practice Address: | 800 Chester Pike Sharon Hill, PA - 190791400 |
Business Phone Number: | 6105373636 |
Business Fax Number: | |
Mailing Address: | 800 Chester Pike, SHARON HILL |
State: | PA |
Postal Code: | 190791400 |
Phone Number: | 6105343636 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2007 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW015784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |