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

Menyuan Jordan, LCSW

Individual provider Clinical Social Worker · NPI 1639839863

Menyuan Jordan, LCSW is a Clinical Social Worker in Hiram, Georgia. Qualified in 2007, 19 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
19
Licensed in
GA
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

107 Enterprise Path Ste 300
Hiram, GA 30141-2690
Phone: (678) 588-7982
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW007869 (GA)

Record details

NPI number1639839863
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 29, 2021
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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