MEDICARE: MS. JASMINE ADAMS MSW, 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	ASW 17036	CA
2	1041C0700X	Clinical Social Worker	26038	CA

General Provider Information

NPI Number	:	1326162561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JASMINE ADAMS MSW, LCSW

Provider Business Mailing Address
First Line	:	3711 LONG BEACH BLVD STE 5039
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3315
Country	:	US
Telephone Number	:	213-324-6063
Fax Number	:

Provider Business Practice Location Address
First Line	:	3711 LONG BEACH BLVD STE 5039
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807
Country	:	US
Telephone Number	:	213-324-6063
Fax Number	:

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

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	05/16/2025

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