SAMANTHA NAILAH MITCHELLE JACKSON
NPI 1720653603
Social Worker - Clinical in Carson, CA

Active since May 24, 2021
649 E ALBERTONI ST STE 100, CARSON, CA 90746(310) 436-9300 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2026, Aug 10, 2022, Sep 24, 2021 and 3 more (6 updates tracked since 2021).

About Samantha Nailah Mitchelle Jackson NPPES

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

SAMANTHA NAILAH MITCHELLE JACKSON (NPI 1720653603) is an individual clinical provider in Carson, California, licensed in California (137898) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1720653603
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA NAILAH MITCHELLE JACKSON
Location Address649 E ALBERTONI ST STE 100Carson, CA 90746-1538
Mailing Address649 E Albertoni St Ste 100Carson, CA 90746-1538 · (310) 436-9300
Sole ProprietorNo
Enumeration DateMay 24, 2021
Last NPPES UpdateApril 30, 20266 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1720653603 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 · 137898
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 102031 (CA), ACSW102031 (CA)
Also ListedSocial WorkerTaxonomy 104100000X · License ACSW102031 (CA)
649 E ALBERTONI ST STE 100, Carson, CA 90746

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.

Marriage & Family Therapist
649 E ALBERTONI ST STE 100
CARSON, CA 90746
Peer Specialist
649 E ALBERTONI ST STE 100
CARSON, CA 90746
Day Training/Habilitation Specialist
649 E ALBERTONI ST STE 100
CARSON, CA 90746
Social Worker
649 E ALBERTONI ST STE 100
CARSON, CA 90746
Day Training/Habilitation Specialist
649 E ALBERTONI ST STE 100
CARSON, CA 90746
Counselor (Professional)
649 E ALBERTONI ST STE 100
CARSON, CA 90746
Day Training/Habilitation Specialist
649 E ALBERTONI ST STE 100
CARSON, CA 90746
Social Worker
649 E ALBERTONI ST STE 100
CARSON, CA 90746

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 Samantha Jackson's NPI number?

The NPI number for Samantha Jackson is 1720653603. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Samantha Jackson located?

Samantha Jackson practices at 649 E Albertoni St Ste 100, Carson, CA 90746. The listed phone number is (310) 436-9300.

What is Samantha 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 Samantha Jackson was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.