Jasmine Amber Atwell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19027 Issued in FL

Practice address

1639 Forum PL
Suite 7
West Palm Beach, FL 33401-2330

Phone

(561) 712-8821

NPI assigned

Aug 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rootwork Psychotherapy, PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1396419263
  NPD Authorized official

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1407309032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 S DELANO CT W APT 512",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053736",
            "telephone_number": "224-592-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 FORUM PL",
            "address_2": "SUITE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012330",
            "telephone_number": "561-712-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2137 W Cortez St # 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606223602",
            "country_code": "US",
            "telephone_number": "224-592-0989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATWELL",
        "first_name": "JASMINE",
        "middle_name": "AMBER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlas Joint and Spine Center
• Atpb LLC (Summit Elite Medical , LLC)
• Atwal Clinic LLC
• Paldeep Singh Atwal, MD
• Hope Crystal Atwell, LCSW
• Tracey Atwood
• Mirland Gina Aubourg, APRN
• Amelie Auclerc, APRN
• Aimee Aucoin, RMHCI
• Joseph Paul Audette

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.