Ms La Tina Monique Jackson, LCSW in Granada Hills, CA

Ms La Tina Monique Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Granada Hills, California. Her current practice location is 10605 Balboa Blvd, Suite 100, Granada Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 832-2400.

Ms La Tina Monique Jackson is licensed to practice in California (license number LCS 23512) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144395658.

Contact Information

	Ms La Tina Monique Jackson, LCSW
	10605 Balboa Blvd, Suite 100, Granada Hills, CA 91344-6342
	(818) 832-2400
	(818) 832-2567

Map and Direction

Healthcare Provider's Profile

Full Name	Ms La Tina Monique Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	10605 Balboa Blvd, Granada Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144395658
Provider Enumeration Date: 11/21/2006
Last Update Date: 02/09/2009

Medicare PECOS Information:

PECOS PAC ID: 0941358865
Enrollment ID: I20090504000381

Medical Identifiers

Medical identifiers for Ms La Tina Monique Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144395658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS 23512 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms La Tina Monique Jackson allows following entities to bill medicare on her behalf.

Entity Name	Los Angeles County Department Of Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319

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. Ms La Tina Monique 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
Ms La Tina Monique Jackson, LCSW 10515 Balboa Blvd Ste 376, Granada Hills, CA 91344-6397 Ph: (818) 488-3837	Ms La Tina Monique Jackson, LCSW 10605 Balboa Blvd, Suite 100, Granada Hills, CA 91344-6342 Ph: (818) 832-2400

Reviews and Comments

Social Worker in Granada Hills, CA

Ms. Elizabeth Margarita Reyes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, Suite 100, Granada Hills, CA 91344 Phone: 818-832-2400
Ms. Susan Lagoria Ruehl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, Granada Hills, CA 91344 Phone: 818-832-2400 Fax: 818-832-2567
Svitlana Malis, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, # 100, Granada Hills, CA 91344 Phone: 818-832-2410 Fax: 818-832-2409
Sasha Samaranayake, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18039 Chatsworth St. Po Box 33381, Granada Hills, CA 91344 Phone: 760-989-0572
Dina Marie Nelli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd Ste 100, Granada Hills, CA 91344 Phone: 818-832-6184 Fax: 818-832-6197
Ms. Nancy Rose, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, Suite 100, Granada Hills, CA 91344 Phone: 818-832-2410 Fax: 818-832-2567

Ms La Tina Monique Jackson, LCSW - Medicare Clinical Social Worker in Granada Hills, CA