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)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
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
Frequently asked questions
- What is Mary Jordan's NPI number?
- Mary Jordan's National Provider Identifier (NPI) is 1083611701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Jordan's specialty?
- Mary Jordan is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Mary Jordan located?
- Mary Jordan's practice location on file with NPPES is 500 S Maple St, Waconia, MN 55387-1752.
- What is Mary Jordan's phone number?
- The practice phone number listed in the NPPES registry for Mary Jordan is (952) 442-2191.
- Is Mary Jordan's NPI active?
- Yes — Mary Jordan's NPI (1083611701) is active in the NPPES registry as of the last update on 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.