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

Individual provider Clinical Social Worker · NPI 1699585158

Jordan Blaine, LCSW is a Clinical Social Worker in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2025.

Licensed in
KY
In the registry since
2025
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

1100 E Market St
Louisville, KY 40206-1838
Phone: (502) 596-1097
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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 259813 (KY)

Record details

NPI number1699585158
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 8, 2025
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

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