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General NPI Number Information
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NPI Number | 1154245728
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Entity Type | Individual
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Provider Name | JASMINE JOHNSON LLMSW
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Gender | Female
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 17625 JOY RD
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City | DETROIT
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State | MI
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Zip | 48228-1999
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Country | US
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Telephone | 313-446-8800
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Fax | 313-446-8810
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Provider Business Mailing Address
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Address Line | 559 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48216-2200
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Country | US
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Telephone | 313-554-0485
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Fax | 313-228-0283
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 68511219511
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License Number State | MI
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