Gina Carrillo-Jackman, LCSW
NPI 1053018911 · Clinical Social Worker · Oak Park, CA
Gina Carrillo-Jackman, LCSW is a Clinical Social Worker provider in Oak Park, CA (NPI 1053018911).
Provider details
- NPI number
- 1053018911
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 21810 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-02-10
- Last updated
- 2023-02-10
- Certified
- 2023-02-10
Frequently asked questions
- What is Gina Carrillo-Jackman's NPI number?
- Gina Carrillo-Jackman's National Provider Identifier (NPI) is 1053018911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gina Carrillo-Jackman's specialty?
- Gina Carrillo-Jackman is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Gina Carrillo-Jackman located?
- Gina Carrillo-Jackman's practice location on file with NPPES is 6193 Barons Way, Oak Park, CA 91377-5849.
- What is Gina Carrillo-Jackman's phone number?
- The practice phone number listed in the NPPES registry for Gina Carrillo-Jackman is (818) 584-6395.
- Is Gina Carrillo-Jackman's NPI active?
- Yes — Gina Carrillo-Jackman's NPI (1053018911) is active in the NPPES registry as of the last update on 2023-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.