MS. CHARLRE-L E JACKSON AA
NPI 1356590749
Case Manager/Care Coordinator in Santa Monica, CA

Q: What is Charlre-l Jackson's NPI number?

The NPI number for Charlre-l Jackson is 1356590749. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Q: What is Charlre-l Jackson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Charlre-l Jackson was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 10, 2008

1453 16TH ST, SANTA MONICA, CA 90404(310) 450-4050(310) 450-7309 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Charlre-l E Jackson Aa NPPES

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

MS. CHARLRE-L E JACKSON AA (NPI 1356590749) is an individual case manager/care coordinator provider in Santa Monica, California and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1356590749

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMS. CHARLRE-L E JACKSONCredential: AA

Location Address1453 16TH STSanta Monica, CA 90404-2715

Mailing Address1453 16th StSanta Monica, CA 90404-2715 · (310) 450-4050 · Fax (310) 450-7309

Phone(310) 450-4050

Fax(310) 450-7309

Sole ProprietorYes

Enumeration DateSeptember 10, 2008

Last NPPES UpdateMay 1, 2017

✔ NPI 1356590749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1453 16TH ST, Santa Monica, CA 90404

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Other Identifiers 1

Medicaid197247CA

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.

PAIGE CHARLES

Case Manager/Care Coordinator