MEDICARE: MISS JASMINE SINGLETON-CASTER 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	65257	TX
2	1041C0700X	Clinical Social Worker	6801114294	MI
3	1041C0700X	Clinical Social Worker	SWB-2024-1073	NM

General Provider Information

NPI Number	:	1649722083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JASMINE SINGLETON-CASTER LCSW

Provider Business Mailing Address
First Line	:	PO BOX 26666
Second Line	:	PHS PROVIDER ENROLLMENT
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87125-6666
Country	:	US
Telephone Number	:	--
Fax Number	:

Provider Business Practice Location Address
First Line	:	4588 PARADISE BLVD NW
Second Line	:	VIRTUAL BEHAVIORAL HEALTH
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-4105
Country	:	US
Telephone Number	:	505-923-2070
Fax Number	:	505-998-1710

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

Provider Enumeration Date	:	11/02/2016
Last Update Date	:	11/26/2024

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