Provider Demographics
NPI:1063204816
Name:LUGO, JASMINE M (LMSW)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:M
Last Name:LUGO
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 1:561 FARMERS MILLS RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-3106
Mailing Address - Country:US
Mailing Address - Phone:845-428-2306
Mailing Address - Fax:
Practice Address - Street 1:561 FARMERS MILLS RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-3106
Practice Address - Country:US
Practice Address - Phone:845-428-2306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113590104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker