MEDICARE: JASMIN ADAMSON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW19574	FL

General Provider Information

NPI Number	:	1235886664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMIN ADAMSON LCSW

Provider Business Mailing Address
First Line	:	946 MYSTIC HARBOR DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-8632
Country	:	US
Telephone Number	:	650-656-5888
Fax Number	:

Provider Business Practice Location Address
First Line	:	946 MYSTIC HARBOR DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-8632
Country	:	US
Telephone Number	:	650-656-5888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2022
Last Update Date	:	03/05/2022

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