Healthcare Provider Details

I. General information

NPI: 1144195397
Provider Name (Legal Business Name): JASMIN SAMANTA PERRIER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 CHERRY HILL RD
ARLINGTON VA
22207-3412
US

IV. Provider business mailing address

3552 10TH ST NW
WASHINGTON DC
20010-1402
US

V. Phone/Fax

Practice location:
  • Phone: 703-468-1814
  • Fax:
Mailing address:
  • Phone: 202-386-8247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number127879
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: