Active NPI
Jasmine Medsker Lu, MSSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1144766171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 60 Haven Ave Apt 25F
New York, NY 10032 - Phone
- (801) 941-3355
- NPI assigned
- Jan 14, 2017
- Last updated
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
60 Haven Ave Apt 25F
New York, NY 10032
Mailing address
60 Haven Ave Apt 25F
New York, NY 10032-0576
Phone (801) 941-3355
Other practice location 1
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Phone (801) 255-5131
Other names 1
- Jasmine Medsker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Integrated Healthcare Services Inc | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Taylorsville, UT
- NPI 1104119619
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1144766171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HAVEN AVE APT 25F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100320576",
"telephone_number": "801-941-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HAVEN AVE APT 25F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "801-941-3355"
}
],
"practiceLocations": [
{
"address_1": "6013 S Redwood Rd",
"address_purpose": "LOCATION",
"city": "Taylorsville",
"state": "UT",
"postal_code": "841235220",
"country_code": "US",
"telephone_number": "801-255-5131",
"fax_number": "801-255-5131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LU",
"first_name": "JASMINE",
"middle_name": "MEDSKER",
"credential": "MSSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-14",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASMINE",
"last_name": "MEDSKER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.