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

Diane M Jordan

Individual provider Clinical Social Worker · NPI 1770301723

Diane M Jordan is a Clinical Social Worker in Poughkeepsie, New York. Qualified in 2015, 11 years ago. Practices with Green NP in Adult Health PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1 Bushwick Rd Ste C
Poughkeepsie, NY 12603-3839
Phone: (845) 579-3435
Fax: (845) 243-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 82878 (NY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 082878 (NY)

Record details

NPI number1770301723
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2024
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Green Np In Adult Health Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Poughkeepsie