1942938154 NPI number — MS. JAZMIN CLAUDIA PORTILLO LICSW

Table of content: MS. JAZMIN CLAUDIA PORTILLO LICSW (NPI 1942938154)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942938154 NPI number — MS. JAZMIN CLAUDIA PORTILLO LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PORTILLO
Provider First Name:
JAZMIN
Provider Middle Name:
CLAUDIA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942938154
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/09/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 3RD AVE SE STE 206-02
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55904-4619
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-906-0348
Provider Business Mailing Address Fax Number:
507-322-1702

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 3RD AVE SE STE 206-02
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55904-4619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-906-0348
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/15/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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