Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. GINA MICHELLE CARRILLO-JACKMAN, LCSW
Active Sole ProprietorMRS. GINA MICHELLE CARRILLO-JACKMAN, LCSW is a Clinical Social Worker healthcare provider located in OAK PARK, California. NPI 1053018911 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · OAK PARK, CA
Registration Details
- NPI Number
- 1053018911
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2023 (3.4957166692849 yrs)
- Last Updated
- Feb 10, 2023
- License
-
21810 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6193 BARONS WAYOAK PARK, CA, 913775849Browse CA providers · Browse ZIP 91377
- Phone
- 8185846395
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in OAK PARK, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JULIE LISE SCOTT | LCSW | 1760751192 |
| HAROLD YOUNG | LCSW | 1851654495 |
| MISS ADINA NICOLE SCHUSTER | — | 1487090791 |
| ERICA PERLMAN | ASW | 1073964367 |
| TREVOR CURRY | — | 1922699065 |
| AMANDA CRANE | LCSW | 1033095534 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.