Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shavonda Denise Jordan, MSW, PLCSW, LCASA

Individual provider Mental Health Counselor · NPI 1225265986

Mrs. Shavonda Denise Jordan, MSW, PLCSW, LCASA is a Mental Health Counselor in Manning, South Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

215 Commerce St
Manning, SC 29102-2638
Phone: (803) 435-2124
Fax: (803) 435-8113
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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 · Licence P005024 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence P005024 (NC)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X · Licence P005024 (NC)

Record details

NPI number1225265986
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , PLCSW , LCASA
Sole proprietorYes
NPI enumeratedJune 19, 2009
Last updated in NPPESOctober 29, 2014

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