Individual provider Active NPI

Jasmine R Neverson, LCSW

  • Clinical Social Worker
  • Glen Allen, VA
National Provider Identifier
1881314318
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904017936 Issued in VA
Practice address
10015 W Broad St
Glen Allen, VA 23060-6406
Phone
(804) 250-6028
Fax
(804) 571-6726
NPI assigned
Sep 2, 2022
Last updated
Feb 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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 0904017936 VA Primary

Addresses

Primary practice location

10015 W Broad St
Glen Allen, VA 23060-6406

Mailing address

10015 W Broad St
Glen Allen, VA 23060-6406
Phone (804) 250-6028

Other practice location 1

10015 W Broad St
Glen Allen, VA 23060-6406
Phone (804) 410-5505

Other names 1

  • Jasmine Neverson Cameron Former name

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
0904017936VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1881314318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 W BROAD ST",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606406",
            "telephone_number": "804-250-6028",
            "fax_number": "804-571-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 W BROAD ST",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606406",
            "telephone_number": "804-250-6028",
            "fax_number": "804-571-6726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10015 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230606406",
            "country_code": "US",
            "telephone_number": "804-410-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVERSON",
        "first_name": "JASMINE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "NEVERSON CAMERON",
            "credential": "LMHP-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; 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.