Provider Demographics
NPI:1336475136
Name:LOUBRIEL, JASMINE P (LMSW)
Entity Type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:P
Last Name:LOUBRIEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY 5TH FLOOR
Mailing Address - Street 2:WOODHULL MEDICAL AND MENTAL HEALTH CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11260
Mailing Address - Country:US
Mailing Address - Phone:718-963-5893
Mailing Address - Fax:718-630-3138
Practice Address - Street 1:760 BROADWAY
Practice Address - Street 2:5TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5317
Practice Address - Country:US
Practice Address - Phone:718-963-5893
Practice Address - Fax:718-630-3138
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079393104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker