IndividualActive
Mary Jordan, LICSW
NPI 1083611701 · Social Worker · Waconia, MN
Mary Jordan, LICSW is a Social Worker provider in Waconia, MN (NPI 1083611701).
Provider details
- NPI number
- 1083611701
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 13949 (MN)
Practice location
500 S Maple St
Waconia, MN 55387-1752
Phone: (952) 442-2191
Street-level locationGet directions
Mailing address
1952 Fischer Dr
Waconia, MN 55387-7501
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2015-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.