Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE JACKSON
ActiveKELLIE JACKSON is a Social Worker healthcare provider located in PASADENA, California. NPI 1538604673 is currently active in the NPPES registry. Verify at CMS.
Social Worker · PASADENA, CA
Registration Details
- NPI Number
- 1538604673
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2016 (9.5950242693022 yrs)
- Last Updated
- Jun 23, 2023
- Licenses
-
112050 (CA)112050 (CA)
Practice Information
- Address
-
100 W WALNUT ST STE 375PASADENA, CA, 911240001Browse CA providers · Browse ZIP 91124
- Phone
- 6263957100
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Social Worker
Other Social Worker Providers in PASADENA, CA
| Name | Credential | NPI |
|---|---|---|
| ROBERT R. HOWARD | LCSW | 1790860039 |
| STELLA GORDIENKO | — | 1093893208 |
| SAUL ZEPEDA | — | 1891837175 |
| NINA ELSIE CHUQUIMIA | — | 1699807305 |
| MARTHA G GUTIEREZ | — | 1164556551 |
| MONICA FAVELA FLORES | — | 1609990837 |
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.