Individual provider · Type 1 NPI

Samantha Nailah Mitchelle Jackson

Clinical Social Worker · Carson, CA

NPI number 1720653603 Active

Practice location

649 E Albertoni St Ste 100
Carson, CA 90746-1538

Call (310) 436-9300 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X137898 (CA)
Mental Health Counselor 101YM0800X102031 (CA)
Mental Health Counselor 101YM0800XACSW102031 (CA)
Social Worker 104100000XACSW102031 (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…

64 other providers at this address

Other clinical social worker providers in Carson

See all in Carson →

About NPI 1720653603

Samantha Nailah Mitchelle Jackson's National Provider Identifier is 1720653603, issued on May 24, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Carson, CA. The record was last updated on Apr 30, 2026.