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

Jordan Southern

Individual provider Clinical Social Worker · NPI 1558089300

Jordan Southern is a Clinical Social Worker in Centralia, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022
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Practice location Address checks out

1616 S Gold St Ste 4
Centralia, WA 98531-8930
Phone: (360) 261-6930
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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 (WA)

Record details

NPI number1558089300
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address1902 Ahlers Ave Apt 2, Centralia, WA 98531-3479

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