Provider Demographics
NPI:1881499317
Name:SIMPSON, JORDAN KALEIGH (LCSW)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:KALEIGH
Last Name:SIMPSON
Suffix:
Gender:
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 1630
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:CO
Mailing Address - Zip Code:81626-1630
Mailing Address - Country:US
Mailing Address - Phone:970-841-9444
Mailing Address - Fax:
Practice Address - Street 1:403 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:CO
Practice Address - Zip Code:81625-2728
Practice Address - Country:US
Practice Address - Phone:970-824-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14192929-35011041C0700X
COCSW.099311781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical