Jazmyne Mitchell
Individual provider Active NPI Clinical Social Worker · Maynard, MA
NPI 1013583244 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1013583244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05935800 (NJ)
- Practice address
- 141 Parker St Ste 306
Maynard, MA 01754-2180 - Phone
- (866) 991-2103
- NPI assigned
- May 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241025000778 | DC | Practitioner - Clinical Social Worker | 2062945306 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05935800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary'S Center for Maternal and Child Care, Inc | Current | Accepting new patients | |
| Marys Center for Maternal and Child Care Inc | Current |
Accepting new patients | |
| Mary'S Center for Maternal and Child Care Inc | Current |
Accepting new patients |
Locations
2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175
3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797
6315 5th St NW
Washington, DC 20011
Phone (202) 671-6080
100 Gallatin St NE
Washington, DC 20011
Phone (202) 545-0515
8908 Riggs Rd
Hyattsville, MD 20783
Phone (301) 422-5900
344 University Blvd W
Silver Spring, MD 20901
Phone (301) 439-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Clinical Social Worker | 1041C0700X | 44SC05935800 | NJ | Yes |
Addresses
Primary practice location
141 Parker St Ste 306
Maynard, MA 01754-2180
Mailing address
141 Parker St Ste 306
Maynard, MA 01754-2180
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SC05935800 | Other | NJ | LICENSE |
Other providers in Maynard, MA
- Erica McLaughlin
- Sarah A. Measures
- Robin Milam
- Joshua Evan Miller
- Elizabeth Milowe
- Veeta W Mitchell
- MNK Dental, PLLC
- Michelle Morisi
- Walter A Murphy
- Harriet Nalumansi
All providers in Maynard, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.