Individual provider · Type 1 NPI

Jordan Southern

Clinical Social Worker · Centralia, WA

NPI number 1558089300 Active

Practice location

1616 S Gold St Ste 4
Centralia, WA 98531-8930

Call (360) 261-6930 Map

Mailing address

1902 Ahlers Ave Apt 2
Centralia, WA 98531-3479

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1558089300

Jordan Southern's National Provider Identifier is 1558089300, issued on Aug 18, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Centralia, WA. The record was last updated on Jun 24, 2026.