Individual provider Active NPI

Jasmine McLaughlin

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1952882656
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010610 Issued in VA
Practice address
221 Ruthers Rd Ste 102
North Chesterfield, VA 23235-5395
Phone
(804) 396-4678
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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 0904010610 VA Primary

Addresses

Primary practice location

221 Ruthers Rd Ste 102
North Chesterfield, VA 23235-5395

Mailing address

221 Ruthers Rd Ste 102
North Chesterfield, VA 23235-5395
Phone (804) 396-4678

Other practice location 1

3111 Northside Ave Ste 101
Richmond, VA 23228-5441
Phone (804) 396-4678

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010610VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered to Thrive Counseling and Wellness, LLC Clinical CurrentSince Oct 29, 2018 Accepting new patients

Locations

221 Ruthers Rd
Ste 102
North Chesterfield, VA 23235
Phone (804) 396-4678

3111 Northside Ave
Ste 101
Richmond, VA 23228
Phone (804) 366-4330

Organizations & group practices 1

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1952882656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 RUTHERS RD STE 102",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355395",
            "telephone_number": "804-396-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RUTHERS RD STE 102",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355395",
            "telephone_number": "804-396-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 Northside Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232285441",
            "country_code": "US",
            "telephone_number": "804-396-4678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.