Individual provider · Type 1 NPI

Jordan Sierra Prussack, LCSW

Clinical Social Worker · Great Falls, MT

NPI number 1194350496 Active

Practice location

1417 9th St S Ste 300
Great Falls, MT 59405-4509

Mailing address

1276 Loop Rd
Raeford, NC 28376-7504

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XC016209 (NC)
Clinical Social Worker 1041C0700X18921 (SC)
Clinical Social Worker Primary 1041C0700XBBH-LCSW-LIC-33322 (MT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194350496

Jordan Sierra Prussack, LCSW's National Provider Identifier is 1194350496, issued on Mar 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Great Falls, MT. The record was last updated on Aug 28, 2026.