Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LA TINA MONIQUE JACKSON, LCSW
Active Sole ProprietorMS. LA TINA MONIQUE JACKSON, LCSW is a Clinical Social Worker healthcare provider located in GRANADA HILLS, California. NPI 1144395658 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GRANADA HILLS, CA
Registration Details
- NPI Number
- 1144395658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2006 (19.714690065026 yrs)
- Last Updated
- Feb 9, 2009
- License
-
LCS 23512 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10605 BALBOA BLVDSUITE 100GRANADA HILLS, CA, 913446342Browse CA providers · Browse ZIP 91344
- Phone
- 8188322400
- Fax
- 8188322567
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in GRANADA HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MARINA MARTIN | LCSW | 1821185232 |
| MRS. ALLISA CRYSTAL DAQUINO | LCSW | 1629166814 |
| MS. NANCY ROSE | MSW | 1164502274 |
| MR. SONNY ALBERTO MONGE | MSW | 1669556940 |
| DINA MARIE NELLI | LCSW | 1114006178 |
| MS. SUSAN LAGORIA RUEHL | LCSW | 1073682092 |
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.