Jasmine Detwaunna Davis-Goode, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904015904 Issued in VA

Practice address

10710 Midlothian Tpke Ste 127
North Chesterfield, VA 23235-4776

Phone

(804) 220-0903

NPI assigned

Nov 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Commonwealth Counseling Associates Inc

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805
  Medicare reassignment Care Compare group NPD
• Chippenham & Johnston-Willis Hospitals, Inc.

  • Electrodiagnostic Medicine Physician
  • Richmond, VA
  • NPI 1033596416
  NPD (past)

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1457175481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 QUIET PINE CIR APT 302",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317820",
            "telephone_number": "804-852-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MIDLOTHIAN TPKE STE 127",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354776",
            "telephone_number": "804-220-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-GOODE",
        "first_name": "JASMINE",
        "middle_name": "DETWAUNNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danjela Bratic Tart DDS Jared a Hoover DDS & M Scott Gore DDS PC
• Dare to Change
• Natalie E Datien, DDS
• Tejwant Singh Datta, M.D.
• Noah David, PA-C
• Darice Nicole Davis, PSY.D.
• Kia Marie Davis, PHARMD
• Leslie Lynt Davis, MD
• Lois Ann Davis, MD
• Matthew Davis

• Clinical Social Worker in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.