Provider Demographics
NPI:1649722083
Name:SINGLETON-CASTER, JASMINE (LCSW)
Entity type:Individual
Prefix:MISS
First Name:JASMINE
Middle Name:
Last Name:SINGLETON-CASTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26666
Mailing Address - Street 2:PHS PROVIDER ENROLLMENT
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-6666
Mailing Address - Country:US
Mailing Address - Phone:000-000-0000
Mailing Address - Fax:
Practice Address - Street 1:4588 PARADISE BLVD NW
Practice Address - Street 2:VIRTUAL BEHAVIORAL HEALTH
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-4105
Practice Address - Country:US
Practice Address - Phone:505-923-2070
Practice Address - Fax:505-998-1710
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX652571041C0700X
MI68011142941041C0700X
NMSWB-2024-10731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical