Jose R Jasso Jr., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2000149482 Issued in MO

Practice address

224 West D.L. Ingram Ave.
BLDG. 1408
Cannon Afb, NM 88103-5014

Phone

(575) 784-1108

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1013017698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 DOGWOOD DR",
            "city": "FALMOUTH",
            "state": "VA",
            "postal_code": "224056111",
            "telephone_number": "540-834-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WEST D.L. INGRAM AVE.",
            "address_2": "BLDG. 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035014",
            "telephone_number": "575-784-1108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2703 Martin Luther King Jr Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "205931134",
            "country_code": "US",
            "telephone_number": "202-817-7089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 Dogwood Dr",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "VA",
            "postal_code": "224056111",
            "country_code": "US",
            "telephone_number": "540-834-3567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASSO",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2000149482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Marie Henson, N.P.
• Jordan Hicks, ATC, CSCS
• Deryck K Hill, RPH
• Rebekah Honea
• Daniel Hurtt, MD
• Martin Oleen Jensen, IDMT
• Jeremiah Edwin Johnson, R.D. MPH
• Griffon Jones, DPT
• Logan D Jones, D.O.
• Becky L Kaime, RPH

• Clinical Social Worker in Cannon Afb, NM
• Providers in Cannon Afb, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.