Active NPI
Jasmine Simmons
- Social Worker
- Fairfax, VA
National Provider Identifier
1760118707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 11166 Fairfax Blvd Ste 207
Fairfax, VA 22030-5017 - Phone
- (571) 307-4294
- NPI assigned
- Jul 30, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
11166 Fairfax Blvd Ste 207
Fairfax, VA 22030-5017
Mailing address
11166 Fairfax Blvd Ste 207
Fairfax, VA 22030-5017
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1760118707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11166 FAIRFAX BLVD STE 207",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11166 FAIRFAX BLVD STE 207",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305017",
"telephone_number": "571-307-4294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "JASMINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-30",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.