Jasmine Briscoe

Individual provider Active NPI Clinical Social Worker · Bryans Road, MD

NPI 1750238366 · NPPES record last updated Mar 12, 2026

Key facts

NPI
1750238366
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
21217 (MD)
Practice address
3001 Fraser Rd
Bryans Road, MD 20616-3026
Phone
(240) 903-5667
NPI assigned
Mar 12, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
21217MDMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21217 MD Yes

Addresses

Primary practice location

3001 Fraser Rd
Bryans Road, MD 20616-3026

Mailing address

3001 Fraser Rd
Bryans Road, MD 20616-3026
Phone (240) 903-5667

Other providers in Bryans Road, MD

All providers in Bryans Road, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.