Provider Demographics
NPI:1811487523
Name:MARIA, JORDIN A (MSW, LISW)
Entity type:Individual
Prefix:MRS
First Name:JORDIN
Middle Name:A
Last Name:MARIA
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3807 REDFERN RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-3355
Mailing Address - Country:US
Mailing Address - Phone:330-415-5158
Mailing Address - Fax:
Practice Address - Street 1:3807 REDFERN RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-3355
Practice Address - Country:US
Practice Address - Phone:330-415-5158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OHI.2405089104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator