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

Individual provider Clinical Social Worker · NPI 1124696042

Jazmyn Wilson is a Clinical Social Worker in Glen Allen, Virginia. Qualified in 2012, 14 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
14
Licensed in
MD
In the registry since
2021
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 974
Glen Allen, VA 23060-0974
Phone: (703) 493-0407
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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 22675 (MD)

Record details

NPI number1124696042
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2021
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing addressPo Box 974, Glen Allen, VA 23060-0974

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Glen Allen