Brian Joseph Jordan | Media, PA • PECOS Search

Brian Joseph Jordan

Social Worker

Behavioral Health & Social Service Providers

1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173

(610) 892-3800 (484) 250-1064

PECOS Enrollment

Based on the most recent information from CMS, provider Brian Joseph Jordan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1356754469
Provider Type
Individual
Full Name
Jordan, Brian Joseph
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/5/2014
Last Updated
6/5/2014

Contact Information

Practice Location

1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173

(484) 468-1412

Mailing Location

1724 Calamia Dr, Norristown, PA 19401-3148

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW012513 Pennsylvania