Jasmine R. Thagard, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018239 Issued in NC

Practice address

351 Wagoner Dr Ste 175
Fayetteville, NC 28303-4860

Phone

(910) 673-3535

NPI assigned

Nov 8, 2021

Last updated

Oct 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1871258459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W TWELVE OAKS RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 175",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034860",
            "telephone_number": "910-673-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAGARD",
        "first_name": "JASMINE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Leanne Terry
• Garrett Michael Testi Sr., LCSW, CADC
• Tonja Teter, RN
• Candice D Tetreault, MS/CCC-SLP
• Lindsey Tew
• Seema Rahul Thaker, DDS
• Prasad Vivekanand Thakur, MD
• Francis Trevor Thandroyen, MD, FACC
• Jason Michael Tharrington, RBT
• The Arc of Cumberland County, Inc.

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.