Provider Demographics
NPI:1659031839
Name:JORDEN, CIERRA (LCSWA)
Entity Type:Individual
Prefix:
First Name:CIERRA
Middle Name:
Last Name:JORDEN
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 CHELSEA DR NW
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-1201
Mailing Address - Country:US
Mailing Address - Phone:252-315-3772
Mailing Address - Fax:
Practice Address - Street 1:2411 CHELSEA DR NW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1201
Practice Address - Country:US
Practice Address - Phone:252-315-3772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
P0159511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical