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

Individual provider Social Worker · NPI 1649735812

Derrick Jordan, LCSW is a Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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

266 W 121st St Apt 2
New York, NY 10027-6293
Phone: (929) 753-9478
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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 099760 (NY)

Record details

NPI number1649735812
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 1, 2019
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

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