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

MS. KATRICE JEWELEAN JACKSON LCSW
NPI 1184102501
Social Worker - Clinical in Los Angeles, CA

Active since July 30, 2018
1465 E 103RD ST, LOS ANGELES, CA 90002(323) 564-7911(323) 569-8527 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 30, 2018 (2 updates tracked since 2018).

About Ms. Katrice Jewelean Jackson Lcsw NPPES

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

MS. KATRICE JEWELEAN JACKSON LCSW (NPI 1184102501) is an individual clinical provider in Los Angeles, California, licensed in California (LCS18822) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1184102501
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATRICE JEWELEAN JACKSONCredential: LCSW
Location Address1465 E 103RD STLos Angeles, CA 90002-3306
Mailing Address1465 E 103rd StLos Angeles, CA 90002-3306 · (323) 564-7911 · Fax (323) 569-8527
Phone(323) 564-7911
Fax(323) 569-8527
Sole ProprietorNo
Enumeration DateJuly 30, 2018
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1184102501 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 · LCS18822
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.
1465 E 103RD ST, Los Angeles, CA 90002
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

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

MS. TAWNY MARIE NOCON-PATALINJUG MD
Internal Medicine
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (833) 574-2273
JOSE M CHAVEZ ED.D., BCET, ADHD-CE
Case Manager/Care Coordinator
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (323) 564-7911
MYRIAH HENDERSON-BASKIN
Counselor (Mental Health)
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (833) 574-2273
JOHN MANUEL CLAROS LCSW
Social Worker (Clinical)
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (562) 807-6200
ALFRED JAMES MCCLOUD LCSW
Social Worker
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (323) 564-7911
BRENDA ELIZABETH PELAYO MD
Pediatrics
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (833) 574-2273

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 Katrice Jackson's NPI number?

The NPI number for Katrice Jackson is 1184102501. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Katrice Jackson located?

Katrice Jackson practices at 1465 E 103rd St, Los Angeles, CA 90002. The listed phone number is (323) 564-7911.

What is Katrice 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 Katrice Jackson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.