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

Jordan Sage Shannon

Individual provider Social Worker · NPI 1962351395

Jordan Sage Shannon is a Social Worker in Portales, New Mexico. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1500 S Avenue K Station 13
Portales, NM 88130-7400
Phone: (575) 562-1011
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1962351395
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

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