Individual ProviderAlan Richard JordanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave, Milwaukee, WI 53295-0001(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Alan Richard Jordan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1720008352Provider TypeIndividualFull NameJordan, Alan RichardTitleMr.CredentialMSW,LICSWGenderMaleSole ProprietorNoEnumeration Date7/19/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address5000 W National Ave, Milwaukee, WI 53295-0001Phone(414) 384-2000Fax(414) 382-5358Mailing LocationMailing Address5000 W National Ave, Milwaukee, WI 53295-0001Phone(414) 384-2000Fax(414) 382-5358Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6832-123Wisconsin