Provider Demographics
NPI:1609647338
Name:JORDAN, TORRIE (LSW)
Entity Type:Individual
Prefix:
First Name:TORRIE
Middle Name:
Last Name:JORDAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6260 E COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-1515
Mailing Address - Country:US
Mailing Address - Phone:303-962-5317
Mailing Address - Fax:303-832-7823
Practice Address - Street 1:807 N GREENWOOD ST # 200
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-2925
Practice Address - Country:US
Practice Address - Phone:719-621-1105
Practice Address - Fax:719-696-8046
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009925239104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker