CHANELL JACKSON
NPI 1114402492
Social Worker - Clinical in Lynwood, CA
About Chanell Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANELL JACKSON (NPI 1114402492) is an individual clinical provider in Lynwood, California, licensed in California (110237) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 2
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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chanell Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Chanell Jackson's NPI number?
The NPI number for Chanell Jackson is 1114402492. It was assigned to this individual provider in the NPPES registry on October 2, 2018.
Where is Chanell Jackson located?
Chanell Jackson practices at 3630 E Imperial Hwy, Lynwood, CA 90262. The listed phone number is (310) 900-4619.
What is Chanell Jackson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Chanell Jackson enrolled in Medicare?
Yes. Chanell Jackson is registered in the Medicare PECOS enrollment system.
What insurance does Chanell Jackson accept?
Health plans from Providence Health Plan list Chanell Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Chanell Jackson was last updated on March 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.