1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Social Worker
  6. NPI Profile

KEITH LOPEZ JACKSON
NPI 1043049356
Social Worker - Clinical in Los Angeles, CA

Active since July 26, 2024
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 751-3026 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Aug 21, 2024, Aug 5, 2024 and 1 more (4 updates tracked since 2024).

About Keith Lopez Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH LOPEZ JACKSON (NPI 1043049356) is an individual clinical provider in Los Angeles, California, licensed in California (126275) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1043049356
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEITH LOPEZ JACKSON
Location Address3850 CRENSHAW BLVDLos Angeles, CA 90008-1821
Mailing Address3850 Crenshaw BlvdLos Angeles, CA 90008-1821 · (323) 751-3026
Phone(323) 751-3026
Sole ProprietorYes
Enumeration DateJuly 26, 2024
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1043049356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 126275
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3850 CRENSHAW BLVD, Los Angeles, CA 90008
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA GURTH
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
WENDY THALIA GARCIA
Counselor (Mental Health)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
SPENCER LEE DAVIS JR.
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
NADEZHDA DAVIS
Nurse Practitioner
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 593-5300
DANEANE WYNTERE BELL
Marriage & Family Therapist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 593-5300
MECHILLE PATRICE JOHNSON
Peer Specialist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
ASHLEY NICOLE ANDERSON
Community Health Worker
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 593-5300
ADRIANA PENELOPE MENDEZ MFT
Marriage & Family Therapist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Jackson's NPI number?

The NPI number for Keith Jackson is 1043049356. It was assigned to this individual provider in the NPPES registry on July 26, 2024.

Where is Keith Jackson located?

Keith Jackson practices at 3850 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 751-3026.

What is Keith Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Keith Jackson was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.