Provider Demographics
NPI:1184933194
Name:TRANGUCCI, JASMINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:
Last Name:TRANGUCCI
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 1:12 OUTLOOK FARM DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561
Mailing Address - Country:US
Mailing Address - Phone:917-582-4483
Mailing Address - Fax:845-419-2395
Practice Address - Street 1:26 COURT STREET
Practice Address - Street 2:2208
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-0103
Practice Address - Country:US
Practice Address - Phone:917-582-4483
Practice Address - Fax:845-419-2395
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-26
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077689-11041C0700X
NYR0776891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical