National Provider Identifier

Jasmine Denise Wilson, LCSW

Jasmine Denise Wilson, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 216-7519.

NPI 1114497617Rochester, NYClinical Social Worker

Profile Overview

NPI
1114497617
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
November 28, 2018
Last Updated
March 17, 2025

Practice Location

  • 950 Norton St
  • Rochester, NY 14621-3732

Phone: (585) 216-7519

Mailing Address

  • 17 W Crest Dr
  • Rochester, NY 14606-4709

Specialties

  • Clinical Social Worker (1041C0700X)
  • Social Worker (104100000X)
Full Record
NPI
1114497617
Entity Type
Individual
Last Name
Wilson
First Name
Jasmine
Middle Name
Denise
Credential
LCSW
Mailing Street Address
17 W Crest Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-4709
Mailing Country
US
Mailing Phone
(585) 216-7519
Practice Street Address
950 Norton St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3732
Practice Country
US
Practice Phone
(585) 216-7519
Enumeration Date
November 28, 2018
Last Updated
March 17, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
March 17, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Social Worker (104100000X)