Individual provider Active NPI

Jasmine Yandoc, LMSW

  • Clinical Social Worker
  • Stevensville, MD
National Provider Identifier
1841997970
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29485 Issued in MD
Practice address
219 Ackerman Rd
Stevensville, MD 21666-2261
Phone
(443) 786-8287
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 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 29485 MD Primary

Addresses

Primary practice location

219 Ackerman Rd
Stevensville, MD 21666-2261

Mailing address

219 Ackerman Rd
Stevensville, MD 21666-2261
Phone (443) 786-8287

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

State licenses

LicenseStateTypeSpecialty
29485MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mood Holistics LLC Clinical Past Accepting new patients
Caroline County Health Department Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1841997970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 ACKERMAN RD",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662261",
            "telephone_number": "443-786-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 ACKERMAN RD",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662261",
            "telephone_number": "443-786-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANDOC",
        "first_name": "JASMINE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "29485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.