Provider Demographics
NPI:1184995748
Name:TRAU, JASMINE B (ACSW)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:B
Last Name:TRAU
Suffix:
Gender:
Credentials:ACSW
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:DEV
Other - Last Name:BOARDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACSW
Mailing Address - Street 1:744 EMPIRE ST STE 120
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-5550
Mailing Address - Country:US
Mailing Address - Phone:707-440-9923
Mailing Address - Fax:
Practice Address - Street 1:744 EMPIRE ST STE 120
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-5550
Practice Address - Country:US
Practice Address - Phone:707-440-9923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker