Individual provider · Type 1 NPI

La Tina Monique Jackson, LCSW

Clinical Social Worker · Granada Hills, CA

NPI number 1144395658 Active

Practice location

10605 Balboa Blvd, Suite 100
Granada Hills, CA 91344-6342

Fax (818) 832-2567

Mailing address

10515 Balboa Blvd Ste 376
Granada Hills, CA 91344-6397

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 23512 (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 1144395658

La Tina Monique Jackson, LCSW's National Provider Identifier is 1144395658, issued on Nov 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Granada Hills, CA. The record was last updated on Feb 9, 2009.