Johnna Jackson, LCSW is a
Social Worker - Clinical based in North Hollywood, California. Johnna Jackson is licensed to practice in California (license number 123951) and her current practice location is
6736 Laurel Canyon Blvd Ste 200, North Hollywood, California. She can be reached at her office (for appointments etc.) via phone at
(818) 755-8786.
NPI number for Johnna Jackson is 1477144590 and her current mailing address is 6736 Laurel Canyon Blvd Ste 200, North Hollywood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477144590.
Healthcare Provider's Profile
Full Name | Johnna Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477144590
- Provider Enumeration Date: 02/01/2021
- Last Update Date: 11/15/2024
Medical Identifiers
Medical identifiers for Johnna Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477144590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LCSW123951 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 123951 (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. Johnna 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 |
Johnna Jackson, LCSW 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 Ph: (818) 755-8786 | Johnna Jackson, LCSW 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 Ph: (818) 755-8786 |
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