Provider Demographics
NPI:1366800278
Name:JORDAN-NAVARRO, COURTNEY MAE (MSW, ASW)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:MAE
Last Name:JORDAN-NAVARRO
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3538
Mailing Address - Country:US
Mailing Address - Phone:530-383-9713
Mailing Address - Fax:
Practice Address - Street 1:814 NORTH ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3538
Practice Address - Country:US
Practice Address - Phone:530-383-9713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-05
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW669771041C0700X
CA828421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAASW66977OtherBOARD OF BEHAVIORAL SCIENCES, ASSOCIATE CLINICAL SOCIAL WORKER