Chanell Jackson
NPI 1114402492ActiveIndividual· Social Worker, Clinical· Lynwood, CA
Social Worker, Clinical in Lynwood, California, trained at University of Southern California Keck School of Medicine (class of 2013). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1114402492 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 2, 2018 |
| Last updated in NPPES | Mar 23, 2026 |
| Certified by provider | Mar 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 110237 | CA |
| Counselor, Mental Health | 101YM0800X | 89545 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|
Education and affiliations
| Medical school | University of Southern California Keck School of Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Chris E Esguerra MD PCAtascadero, CA · 10 clinicians
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All 114 clinical social workers in Lynwood · All clinical social workers in California