Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jasmine Breeze Wickham-Green, MSW

Individual provider Mental Health Counselor · NPI 1639815715

Jasmine Breeze Wickham-Green, MSW is a Mental Health Counselor in Wellsville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

4220 State Route 417 W
Wellsville, NY 14895-9332
Phone: (585) 593-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (NY)

Record details

NPI number1639815715
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedMay 11, 2022
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022

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