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

Individual provider Clinical Social Worker · NPI 1407728447

Jasmine Michelle Mohr-Fentress is a Clinical Social Worker in Louisville, Kentucky. Qualified in 2023, 3 years ago. Practices with Seven Counties Services, Inc, a 90-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2025
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Practice location Address checks out

4710 Champions Trace Ln Ste 102
Louisville, KY 40218-3496
Phone: (502) 454-6343
Fax: (502) 459-9209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW00001142 (KY)

Record details

NPI number1407728447
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Seven Counties Services, Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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