Individual provider · Type 1 NPI

Jordan Mickens

Clinical Social Worker · Chevy Chase, MD

NPI number 1821757196 Active

Practice location

4445 Willard Ave
Chevy Chase, MD 20815-3690

Fax (833) 419-0181

Mailing address

2929 FM 2920 Rd
Spring, TX 77388-3428

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25097 (MD)

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 1821757196

Jordan Mickens's National Provider Identifier is 1821757196, issued on Dec 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chevy Chase, MD. The record was last updated on Dec 15, 2025.