Individual provider Active NPI

Jasmin Georgina Gouge, LMSW

  • Clinical Social Worker
  • Catonsville, MD
National Provider Identifier
1639086689
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30109 Issued in MD
Practice address
405 Frederick Rd Ste 162
Catonsville, MD 21228-4646
Phone
(410) 913-2349
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 30109 MD Primary

Addresses

Primary practice location

405 Frederick Rd Ste 162
Catonsville, MD 21228-4646

Mailing address

405 Frederick Rd Ste 162
Catonsville, MD 21228-4646

Other names 1

  • Ms. Jennifer Jasmin McClure Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1639086689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD STE 162",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD STE 162",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284646",
            "telephone_number": "410-913-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGE",
        "first_name": "JASMIN",
        "middle_name": "GEORGINA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "30109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCCLURE",
            "middle_name": "JASMIN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.