Provider Demographics
NPI:1710710488
Name:GELSKY, JORDANNA SARAH (LMSW)
Entity type:Individual
Prefix:
First Name:JORDANNA
Middle Name:SARAH
Last Name:GELSKY
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 1:7528 BROMWICH CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6450
Mailing Address - Country:US
Mailing Address - Phone:972-975-2475
Mailing Address - Fax:
Practice Address - Street 1:17103 PRESTON RD STE 230
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1372
Practice Address - Country:US
Practice Address - Phone:972-468-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113956104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker