Individual
JAN LINDSEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
300 UCLA MEDICAL PLZ STE 1100, LOS ANGELES, CA 90095-8353
(310) 825-9989
(310) 267-1908
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
090307
NY
104100000X
Social Worker
Primary
LCSW122756
CA
1041C0700X
Clinical Social Worker
LCSW122756
CA
Other
Enumeration date
11/18/2013
Last updated
03/05/2026
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