Tienna Jackson
NPI 1194976225 · Clinical Social Worker · San Diego, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tienna Jackson is a Clinical Social Worker provider in San Diego, CA (NPI 1194976225).
Provider details
- NPI number
- 1194976225
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 89122 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Student, Health Care
- Counselor101Y00000X
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
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 7828 BroadwayLemon Grove, CA 91945-1801Phone: (619) 876-4470
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Frequently asked questions
- What is Tienna Jackson's NPI number?
- Tienna Jackson's National Provider Identifier (NPI) is 1194976225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tienna Jackson's specialty?
- Tienna Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tienna Jackson located?
- Tienna Jackson's practice location on file with NPPES is 3132 Jefferson St, San Diego, CA 92110-4421.
- What is Tienna Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tienna Jackson is (619) 683-3100.
- Does Tienna Jackson accept Medicare?
- Tienna Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tienna Jackson's NPI active?
- Yes — Tienna Jackson's NPI (1194976225) is active in the NPPES registry as of the last update on 2024-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.