MS. LA TINA MONIQUE JACKSON LCSW
NPI 1144395658
Social Worker - Clinical in Granada Hills, CA

Active since November 21, 2006
10605 BALBOA BLVD, SUITE 100, GRANADA HILLS, CA 91344(818) 832-2400(818) 832-2567 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. La Tina Monique Jackson Lcsw NPPES

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

MS. LA TINA MONIQUE JACKSON LCSW (NPI 1144395658) is an individual clinical provider in Granada Hills, California, licensed in California (LCS 23512) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1144395658
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LA TINA MONIQUE JACKSONCredential: LCSW
Location Address10605 BALBOA BLVD, SUITE 100Granada Hills, CA 91344-6342
Mailing Address10515 Balboa Blvd Ste 376Granada Hills, CA 91344-6397 · (818) 488-3837 · Fax (818) 360-8753
Fax(818) 832-2567
Sole ProprietorYes
Enumeration DateNovember 21, 2006
Last NPPES UpdateFebruary 9, 2009
NPI 1144395658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCS 23512
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.
10605 BALBOA BLVD, Granada Hills, CA 91344

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.

Rehabilitation Practitioner
10605 BALBOA BLVD, STE.100
GRANADA HILLS, CA 91344
Student in an Organized Health Care Education/Training Program
10605 BALBOA BLVD
GRANADA HILLS, CA 91344
Clinic/Center (Ambulatory Surgical)
10605 BALBOA BLVD
GRANADA HILLS, CA 91344
Durable Medical Equipment & Medical Supplies
10605 BALBOA BLVD
GRANADA HILLS, CA 91344
Psychiatry & Neurology (Psychiatry)
10605 BALBOA BLVD
GRANADA HILLS, CA 91344
Rehabilitation Practitioner
10605 BALBOA BLVD, SUITE 100
GRANADA HILLS, CA 91344
Psychologist (Clinical Child & Adolescent)
10605 BALBOA BLVD, SUITE 100
GRANADA HILLS, CA 91344
Social Worker (Clinical)
10605 BALBOA BLVD, SUITE 100
GRANADA HILLS, CA 91344

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 La Tina Jackson's NPI number?

The NPI number for La Tina Jackson is 1144395658. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is La Tina Jackson located?

La Tina Jackson practices at 10605 Balboa Blvd Suite 100, Granada Hills, CA 91344. The listed phone number is (818) 832-2400.

What is La Tina 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 La Tina Jackson was last updated on February 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.