Healthcare Provider Details

I. General information

NPI: 1770487357
Provider Name (Legal Business Name): JASMINE JAMICKA JONES LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 CEDAR HEIGHTS CT APT E
GWYNN OAK MD
21207-5406
US

IV. Provider business mailing address

12 CEDAR HEIGHTS CT APT E
GWYNN OAK MD
21207-5406
US

V. Phone/Fax

Practice location:
  • Phone: 410-907-5060
  • Fax:
Mailing address:
  • Phone: 410-907-5060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number35271
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: