Provider Demographics
NPI:1295968519
Name:JASMUND, NORMAN WILLIAM (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:WILLIAM
Last Name:JASMUND
Suffix:
Gender:M
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W EXCHANGE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-2834
Mailing Address - Country:US
Mailing Address - Phone:989-723-8239
Mailing Address - Fax:989-723-8230
Practice Address - Street 1:120 W. EXCHANGE STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867
Practice Address - Country:US
Practice Address - Phone:989-723-8239
Practice Address - Fax:989-723-8230
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010173871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical