Amani Jackson, is a
Social Worker - Clinical based in South Pasadena, California. Amani Jackson is licensed to practice in California (license number 94251) and her current practice location is
205 Pasadena Ave, South Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(323) 344-5536.
NPI number for Amani Jackson is 1851873962 and her current mailing address is 205 Pasadena Ave, South Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851873962.
Healthcare Provider's Profile
| Full Name | Amani Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 205 Pasadena Ave, South Pasadena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1851873962
- Provider Enumeration Date: 09/05/2018
- Last Update Date: 05/05/2025
Medical Identifiers
Medical identifiers for Amani Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851873962 | NPI | - | NPPES |
| 7667 | Other | CA | MEDICAL |
| 7708 | Other | CA | MEDICAL |
| 7184 | Other | CA | MEDICAL |
| 7368 | Other | CA | MEDICAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 94251 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 94251 (California) | Primary |
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. Amani Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amani Jackson,
205 Pasadena Ave,
South Pasadena, CA 91030-2919
Ph: (323) 344-5536 | Amani Jackson,
205 Pasadena Ave,
South Pasadena, CA 91030-2919
Ph: (323) 344-5536 |
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