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

Jordan Ellman, ASW126366

Individual provider Clinical Social Worker · NPI 1639978604

Jordan Ellman, ASW126366 is a Clinical Social Worker in Culver City, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

5350 Machado Rd
Culver City, CA 90230-9023
Phone: (310) 204-3300
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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 126366 (CA)

Record details

NPI number1639978604
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW126366
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

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