Provider Demographics
NPI:1184384794
Name:HAYWOOD, JASMIN ANNETTE (LMSW)
Entity type:Individual
Prefix:MS
First Name:JASMIN
Middle Name:ANNETTE
Last Name:HAYWOOD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:JASMIN
Other - Middle Name:ANNETTE
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8026 AREZZO DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-4529
Mailing Address - Country:US
Mailing Address - Phone:909-265-5317
Mailing Address - Fax:
Practice Address - Street 1:8026 AREZZO DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-4529
Practice Address - Country:US
Practice Address - Phone:909-265-5317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104612104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker