Provider Demographics
NPI:1417828245
Name:JORDAN-DASILVA, JADA (LMSW)
Entity type:Individual
Prefix:
First Name:JADA
Middle Name:
Last Name:JORDAN-DASILVA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 TOWNE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-4446
Mailing Address - Country:US
Mailing Address - Phone:443-313-3240
Mailing Address - Fax:
Practice Address - Street 1:626 TOWNE CENTER DR
Practice Address - Street 2:
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085-4446
Practice Address - Country:US
Practice Address - Phone:443-313-3240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD332121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical