Jordan Tyler Dewitt, MA, LMFT, LCAS
Jordan Tyler Dewitt, MA, LMFT, LCAS is a Marriage and Family Therapist in Ellerbe, North Carolina. Qualified in 2017, 9 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 9
- Licensed in
- NC
- In the registry since
- 2018
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
651 Jones Springs Church RdEllerbe, NC 28338-8413
Phone: (910) 318-7416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 2160 (NC) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence LCAS-24343 (NC) |
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence 12093A (NC) |
Record details
| NPI number | 1679064984 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA , LMFT , LCAS |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2018 |
| Last updated in NPPES | January 6, 2022 |
| Certification date | January 6, 2022 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Optum Behavioral Care Of North Carolina Pc — 176 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ellerbe
-
Carolina Wellness Services PLLC
223 Wallace Rd, Ellerbe, NC 28338-9304 · (910) 995-1541