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

Individual provider Clinical Social Worker · NPI 1255941225

Jordan Berry, LCSW is a Clinical Social Worker in Shawnee, Kansas. Practices as a sole proprietor. Licensed in Arizona, Kansas and Missouri.

Licensed in
AZ, KS, MO
In the registry since
2020
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

13851 W 63rd St # 181
Shawnee, KS 66216-3800
Phone: (480) 420-9397
Fax: (602) 926-7377
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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 06440 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-19263 (AZ)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2024038897 (MO)

Record details

NPI number1255941225
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 5, 2020
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

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