JASMINE TIERRA LACHE WHITE
NPI 1245898014
Social Worker - Clinical in Laurel, MD
About Jasmine Tierra Lache White NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASMINE TIERRA LACHE WHITE (NPI 1245898014) is an individual clinical provider in Laurel, Maryland, licensed in Maryland (24969) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jasmine Tierra Lache White is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jasmine Tierra White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elkridge, MD 21075
- Reassigned Medicare billing, Maryland enrollment
- 41 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20723 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jasmine Tierra White's NPI number?
The NPI number for Jasmine Tierra White is 1245898014. It was assigned to this individual provider in the NPPES registry on June 5, 2019.
Where is Jasmine Tierra White located?
Jasmine Tierra White practices at 10003 Ruffian Way Ste B, Laurel, MD 20723. The listed phone number is (240) 706-0748.
What is Jasmine Tierra White's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jasmine Tierra White enrolled in Medicare?
Yes. Jasmine Tierra White is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jasmine Tierra White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Tierra White reassigns Medicare benefits to Backpack Medical Group, P.C. (Elkridge, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jasmine Tierra White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jasmine Tierra White was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jasmine Tierra Lache White · NPI 1245898014
Clinical provider in Laurel, Maryland. Individual provider, active in the CMS NPPES registry since June 5, 2019.
## Identity
- **NPI:** 1245898014 (Entity type: Individual)
- **Enumerated:** June 5, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 24969 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10003 RUFFIAN WAY STE B, Laurel, MD 20723-2088
- **Phone:** (240) 706-0748
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Backpack Medical Group, P.C. (NPI 1851177570, Elkridge, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 8, 2023
- **Other identifiers:** Medicaid 38-3876389 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1245898014) · Data from the CMS NPPES public registry.