Healthcare Provider Details

I. General information

NPI: 1518835057
Provider Name (Legal Business Name): JASMINE LINETTE FICHERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 S OVERHILL CT
WILMINGTON DE
19810-3109
US

IV. Provider business mailing address

1115 S OVERHILL CT
WILMINGTON DE
19810-3109
US

V. Phone/Fax

Practice location:
  • Phone: 215-327-8975
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW025775
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: