ANDRELL S JACKSON


Address: 7410 S Broadway, Los Angeles, CA 90003-2034
Phone: 3237513026

ANDRELL S JACKSON (NPI# 1528310919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528310919
Entity Type Individual
Full Name ANDRELL S JACKSON
Practice Address 7410 S Broadway
Los Angeles
CA 90003-2034
Practice Telephone 3237513026
Mailing Telephone 3237513026
Enumeration Date 2012-10-09
Last Update Date 2012-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker ASW34046 CA Behavioral Health & Social Service Providers

Office Location

Street Address 7410 S BROADWAY
City LOS ANGELES
State CA
Zip Code 90003-2034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902938772 Charlotte Searcy Counselor 7410 S Broadway, Los Angeles, CA 90003-2034 2007-03-09
1790119931 Jacqueline Aguilar-sethi Social Worker 7410 S Broadway, Los Angeles, CA 90003-2034 2013-08-23
1265786453 Jessica M. Almeida Case Manager/Care Coordinator 7410 S Broadway, Los Angeles, CA 90003-2034 2012-11-09
1952652695 Karenda A Lindsey Rehabilitation Practitioner 7410 S Broadway, Los Angeles, CA 90003-2034 2012-09-20
1053666289 Matthew Olufemi Rehabilitation Practitioner 7410 S Broadway, Los Angeles, CA 90003-2034 2012-07-13
1003132069 Frances Caple Social Worker 7410 S Broadway, Los Angeles, CA 90003-2034 2010-04-15
1093045189 Doreatha Broadnax Rehabilitation Practitioner 7410 S Broadway, Los Angeles, CA 90003-2034 2010-01-12
1356671564 Alfredo Plaza Rehabilitation Practitioner 7410 S Broadway, Los Angeles, CA 90003-2034 2010-01-11
1205011616 Lyssa A. White Rehabilitation Practitioner 7410 S Broadway, Los Angeles, CA 90003-2034 2008-01-03
1760514475 Glenda Lauren Santos Rehabilitation Practitioner 7410 S Broadway, Los Angeles, CA 90003-2034 2007-03-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043831878 Didi Hirsch Psychiatric Service Community/Behavioral Health 9179 S Main Street, Los Angeles, CA 90003 2020-05-04
1780227207 Herminia E Galvez Counselor 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 2019-10-28
1720567548 Banty Dental Corporation Clinic/Center 5971 S Main Street, Los Angeles, CA 90003 2018-08-13
1932623030 Mireya Melendez Case Manager/Care Coordinator 5849 Crocker Street Unit L, Los Angeles, CA 90003 2017-07-31
1356865810 Oscar Montes Jr. Social Worker 8220 San Pedro St., Los Angeles, CA 90003 2017-07-26
1619407483 Tonja Benetta Jordan Registered Nurse 5850 South Main St, Los Angeles, CA 90003 2017-06-14
1194254581 Janae Wilson Shepherd Registered Nurse 5850 S Main Street, Los Angeles, CA 90003 2017-06-08
1649709049 Eisha Eishawndra Purvis Registered Nurse 5850 S. Main Street, Los Angeles, CA 90003 2017-06-08
1689022477 Ladan Hariri Psychiatry & Neurology 1200 N.state St., Los Angeles, CA 90003 2016-06-02
1811330772 David Chavez Dental Assistant 358 East 76st, Los Angeles, CA 90003 2013-04-10
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093341364 Angela Lavonne Dumas Social Worker 11301 Wilshire Blvd Bldg 258, Los Angeles, CA 90073-1003 2020-03-19
1245866573 Monica Tate Social Worker 11301 Wilshire Blvd Bldg 158, Los Angeles, CA 90073-1003 2020-03-18
1235786401 Jermelle F Pitts Social Worker 832 Fedora St Apt 207, Los Angeles, CA 90005-2106 2019-08-22
1437714615 Jackeline L Ramon Social Worker 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 2019-05-03
1811462179 Martin Soto Coronel Social Worker 2010 Zonal Ave Rm 4p81, Los Angeles, CA 90033-1026 2018-10-12
1306320833 R and R Family Services Inc. Social Worker 854 N Las Palmas Ave, Los Angeles, CA 90038-3516 2018-09-20
1205316403 Tu Tram Huynh Nguyen Social Worker 1902 Marengo St Ste 107, Los Angeles, CA 90033-1378 2018-08-16
1790264729 Miguel A Sanguino Social Worker 3658 City Terrace Dr, Los Angeles, CA 90063-2015 2018-08-10
1841786498 Tanya Patimeteeporn Social Worker 4211 S. Avalon Blvd, Los Angeles, CA 90011-5622 2018-07-06
1013402478 Guillermo Gonzalez Lopez Social Worker La Cada, 1773 Griffith Park, Los Angeles, CA 90026 2018-06-28
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90003

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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