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Jasmine Gates

Social Worker, Clinical in Charlotte, NC. Individual provider (NPI-1).

NPI number1366085409
StatusActive
Last updated in NPPESOct 22, 2019

Details

NPI
1366085409
Entity type
Individual (NPI-1)
Name
Jasmine Gates
Sex
Female
Sole proprietor
No
Enumeration date
Oct 22, 2019
Last updated
Oct 22, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalP013062NCYes

Practice location

5804 Monroe Rd
Charlotte, NC 28212-6182

Phone 704-565-9250

Mailing address

12304 Bending Branch Rd
Charlotte, NC 28227-3660

Phone 757-343-2546

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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