Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Lamont Jordan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194039099

Derrick Lamont Jordan is a Student in an Organized Health Care Education/Training Program in Lincolnton, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2010
Specialties on file
2

Practice location Address checks out

311 McBee St
Lincolnton, NC 28092
Phone: (704) 986-1500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1850 Pineview Dr, Columbia, SC 29209-5085 — (803) 783-0303

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C008484 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194039099
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2010
Last updated in NPPESJune 5, 2019
Mailing address350 Pee Dee Ave Ste 101, Albemarle, NC 28001-4945

Other providers in Lincolnton