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General NPI Number Information
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NPI Number | 1477045235
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Entity Type | Individual
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Provider Name | JASMINE SMITH LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1204 STUBBS AVE STE B
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City | MONROE
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State | LA
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Zip | 71201-5631
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Country | US
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Telephone | 318-582-5633
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Fax |
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Provider Business Mailing Address
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Address Line | 626 E JEFFERSON AVE
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City | BASTROP
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State | LA
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Zip | 71220-4619
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Country | US
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Telephone | 318-239-2325
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Fax |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14374
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License Number State | LA
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