Individual
JASMINE LUCAS
Active
Individual
JASMINE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW61276712
WA
1041C0700X
Clinical Social Worker
Primary
LW61276712
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NEIGHBORHOOD HEALTH
RI
05
—
1538441472
—
WA
05
—
ES01788
—
RI
01
—
SB870
BLUE CROSS
RI
Enumeration date
09/16/2011
Last updated
06/01/2023
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