Individual provider · Type 1 NPI

Keith Lopez Jackson

Clinical Social Worker · Los Angeles, CA

NPI number 1043049356 Active

Practice location

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821

Call (323) 751-3026 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Clinical Social Worker Primary 1041C0700X126275 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1043049356

Keith Lopez Jackson's National Provider Identifier is 1043049356, issued on Jul 26, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 7, 2024.