Provider Demographics
NPI:1174286280
Name:MURPHY, JORDANN (LCSW)
Entity Type:Individual
Prefix:
First Name:JORDANN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59806-0091
Mailing Address - Country:US
Mailing Address - Phone:406-529-4035
Mailing Address - Fax:
Practice Address - Street 1:90 TIGER ST
Practice Address - Street 2:
Practice Address - City:SAINT REGIS
Practice Address - State:MT
Practice Address - Zip Code:59866-9757
Practice Address - Country:US
Practice Address - Phone:406-649-2311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical