Active NPI
Stephanie Jasmin, LCSW
- Clinical Social Worker
- Enfield, CT
National Provider Identifier
1336213974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005539
- Practice address
- 47 Palomba Dr
Enfield, CT 06082-3868 - Phone
- (860) 253-5020
- Fax
- (860) 253-5030
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005539 | CT | Primary |
Addresses
Primary practice location
47 Palomba Dr
Enfield, CT 06082-3868
Mailing address
1203 Longmeadow St
Longmeadow, MA 01106-2201
Phone (413) 567-7186
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005539 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336213974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 LONGMEADOW ST",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011062201",
"telephone_number": "413-567-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 PALOMBA DR",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823868",
"telephone_number": "860-253-5020",
"fax_number": "860-253-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASMIN",
"first_name": "STEPHANIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.