Chanell Jackson
NPI 1114402492 · Clinical Social Worker · Lynwood, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chanell Jackson is a Clinical Social Worker provider in Lynwood, CA (NPI 1114402492).
Provider details
- NPI number
- 1114402492
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 110237 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
7 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
- 2018-10-02
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Frequently asked questions
- What is Chanell Jackson's NPI number?
- Chanell Jackson's National Provider Identifier (NPI) is 1114402492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chanell Jackson's specialty?
- Chanell Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Chanell Jackson located?
- Chanell Jackson's practice location on file with NPPES is 3630 E Imperial Hwy, Lynwood, CA 90262-2609.
- What is Chanell Jackson's phone number?
- The practice phone number listed in the NPPES registry for Chanell Jackson is (310) 900-4619.
- Does Chanell Jackson accept Medicare?
- Chanell Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Chanell Jackson's NPI active?
- Yes — Chanell Jackson's NPI (1114402492) is active in the NPPES registry as of the last update on 2026-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.