JASMIN DESRIE CLARK
NPI 1679062293
Counselor - Mental Health in South Ozone Park, NY

Active since May 09, 2018
11578 LEFFERTS BLVD # 2, SOUTH OZONE PARK, NY 11420(646) 281-7793 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jasmin Desrie Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMIN DESRIE CLARK (NPI 1679062293) is an individual mental health provider in South Ozone Park, New York, licensed in New York (NYCPS-P-2029) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1679062293
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJASMIN DESRIE CLARK
Location Address11578 LEFFERTS BLVD # 2South Ozone Park, NY 11420-2406
Mailing Address125 Broad St,, 3 Rd FloorNew York, NY 10004 · (917) 580-0179
Sole ProprietorNo
Enumeration DateMay 9, 2018
NPI 1679062293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · NYCPS-P-2029
11578 LEFFERTS BLVD # 2, South Ozone Park, NY 11420

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 Jasmin Clark's NPI number?

The NPI number for Jasmin Clark is 1679062293. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Jasmin Clark located?

Jasmin Clark practices at 11578 Lefferts Blvd # 2, South Ozone Park, NY 11420. The listed phone number is (646) 281-7793.

What is Jasmin Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jasmin Clark was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.