Search › Maryland › 1041C0700X
Jordan Mickens
NPI 1821757196 · on the registry since 2021
Practice
- Address
- 4445 Willard Ave
Chevy Chase, MD 20815 - Phone
- (323) 205-7088
- Fax
- (833) 419-0181
- Organisation at this address
- Dial Md Llc
Aligned Mindset Llc
Inpresent Psychiatry Pc
Urban Village Therapy Llc
Loudoun Medical Group, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-15
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 Maryland