Active NPI
Jasmine Offley, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1386125466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103500
- Practice address
- 619 Halsey Street Apt 4a
Brooklyn, NY 11233 - Phone
- (508) 562-2500
- NPI assigned
- Aug 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 103500 | NY | Primary |
Addresses
Primary practice location
619 Halsey Street Apt 4a
Brooklyn, NY 11233
Mailing address
555 Ovington Street B35
Brooklyn, NY 11209
Phone (508) 562-2500
Other practice location 1
130-20 89th Road
Richmond Hill, NY 11418
Phone (929) 335-6541 ext. 6604
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103500 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1386125466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 OVINGTON STREET B35",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "508-562-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 HALSEY STREET APT 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11233",
"telephone_number": "508-562-2500"
}
],
"practiceLocations": [
{
"address_1": "130-20 89th Road",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "NY",
"postal_code": "11418",
"country_code": "US",
"telephone_number": "929-335-6541 x6604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OFFLEY",
"first_name": "JASMINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "103500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.