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Search › Washington › Clinical Social Worker

Jordan Southern

NPI 1558089300 · on the registry since 2022

Practice

Address
1616 S Gold St Ste 4
Centralia, WA 98531
Phone
(360) 261-6930
Clinicians at this address
17

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington