Jan Lindsey Jackson, LMSW
Social Worker in Los Angeles, CA. Individual provider (NPI-1).
NPI number1649600313
StatusActive
Last updated in NPPESMar 5, 2026
Details
- NPI
- 1649600313
- Entity type
- Individual (NPI-1)
- Name
- Jan Lindsey Jackson
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2013
- Certification date
- Mar 5, 2026
- Last updated
- Mar 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | LCSW122756 | CA | Yes |
| 104100000X | Social Worker | 090307 | NY | |
| 1041C0700X | Social Worker, Clinical | LCSW122756 | CA |
Practice location
300 Ucla Medical Plz Ste 1100Los Angeles, CA 90095-8353
Phone 310-825-9989 · Fax 310-267-1908
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
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