Individual provider · Type 1 NPI
Gina Michelle Carrillo-Jackman, LCSW
Clinical Social Worker · Oak Park, CA
Practice location
6193 Barons Way
Oak Park, CA 91377-5849
Mailing address
5737 Kanan Rd # 438
Agoura, CA 91301-1601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 21810 (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 1053018911
Gina Michelle Carrillo-Jackman, LCSW's National Provider Identifier is 1053018911, issued on Feb 10, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oak Park, CA. The record was last updated on Feb 10, 2023.