Danielle Linda Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

88598 Issued in CA

Practice address

591 Camino de la Reina Ste 210
San Diego, CA 92108-3104

Phone

(619) 206-5271

NPI assigned

Jul 31, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Khachatryan Corporation, Licensed Professional Clinical Counselor

  • Counselor
  • San Diego, CA
  • NPI 1437626488
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1851064133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E SAINT THOMAS MOORE WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083104",
            "telephone_number": "619-206-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DANIELLE",
        "middle_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedric Jackson, FNP-BC
• Charles F Jackson
• Cherolyn Jackson
• Cody Ronald Jackson, M.D.
• Dahlin Jackson, DO
• David Keith Jackson II, DMD
• Dontee Lamone Jackson
• Elizabeth Anne Caroline Jackson, PHARM D.
• Erica Aleas Jackson, FNP-C
• Erin Jackson

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.