Jasmine Tierra Lache White
Jasmine Tierra Lache White is a Clinical Social Worker in Laurel, Maryland. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland.
- Years since qualifying
- 7
- Licensed in
- MD
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
10003 Ruffian Way Ste BLaurel, MD 20723-2088
Phone: (240) 706-0748
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 — (443) 438-6742
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 24969 (MD) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence 24969 (MD) |
Record details
| NPI number | 1245898014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2019 |
| Last updated in NPPES | March 8, 2023 |
| Certification date | March 8, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
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