Provider Demographics
NPI:1245756873
Name:TECHMEIER, JORDAN LYNNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:JORDAN
Middle Name:LYNNE
Last Name:TECHMEIER
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 1:123 N OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54303-2831
Mailing Address - Country:US
Mailing Address - Phone:920-770-4088
Mailing Address - Fax:
Practice Address - Street 1:5047 SNAPDRAGON CIR
Practice Address - Street 2:
Practice Address - City:LITTLE SUAMICO
Practice Address - State:WI
Practice Address - Zip Code:54141
Practice Address - Country:US
Practice Address - Phone:920-288-2233
Practice Address - Fax:920-486-9355
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-15
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty