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

Mary K. Jordan, LICSW

Individual provider Social Worker · NPI 1083611701

Mary K. Jordan, LICSW is a Social Worker in Waconia, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

500 S Maple St
Waconia, MN 55387-1752
Phone: (952) 442-2191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 13949 (MN)

Record details

NPI number1083611701
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESJanuary 7, 2015

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