Chanell Jackson, in Lynwood, CA - Medicare Clinical Social Worker Provider

Chanell Jackson, is a medicare enrolled "Social Worker - Clinical" provider in Lynwood, California. She went to University Of Southern California Keck School Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 3630 E Imperial Hwy, Lynwood, California. You can reach out to her office (for appointments etc.) via phone at (310) 900-4619.

Chanell Jackson is licensed to practice in California (license number 110237) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114402492.

Contact Information

	Chanell Jackson,
	3630 E Imperial Hwy, Lynwood, CA 90262-2609
	(310) 900-4619
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chanell Jackson
Gender	Female
Speciality	Clinical Social Worker
Experience	13 Years
Location	3630 E Imperial Hwy, Lynwood, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chanell Jackson attended and graduated from University Of Southern California Keck School Of Medicine in 2013

NPI Data:

NPI Number: 1114402492
Provider Enumeration Date: 10/02/2018
Last Update Date: 03/23/2026

Medicare PECOS Information:

PECOS PAC ID: 3375024870
Enrollment ID: I20260223003236

Medical Identifiers

Medical identifiers for Chanell Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114402492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	110237 (California)	Primary
101YM0800X	Counselor - Mental Health	89545 (California)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chanell Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Chanell Jackson, 3630 E Imperial Hwy, Lynwood, CA 90262-2609 Ph: (310) 900-4619	Chanell Jackson, 3630 E Imperial Hwy, Lynwood, CA 90262-2609 Ph: (310) 900-4619

Reviews and Comments

Social Worker in Lynwood, CA

Shannon Giovanna Doss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3736 Palm Ave, Lynwood, CA 90262 Phone: 424-232-2795
Kelly Allin Perez, MSW, PPSC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3680 E Imperial Hwy Ste And240, Lynwood, CA 90262 Phone: 323-769-7164
Tracy Flores Peeples, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2640 Industry Way, Lynwood, CA 90262 Phone: 310-631-8004 Fax: 310-631-5875
Yessica Yesenia De Leon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3680 E Imperial Hwy, Lynwood, CA 90262 Phone: 213-637-5000
Liza Schoenberg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11705 Deputy Yamamoto Pl, Lynwood, CA 90262 Phone: 323-242-5000
Genevieve Ladawn Lewis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3680 E. Imperial Hwy, Suite 220- 240, Lynwood, CA 90262 Phone: 323-769-7174

Chanell Jackson, - Medicare Clinical Social Worker in Lynwood, CA