YVETTE ANTOINETTE JACKSON (NPI# 1720235476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720235476 |
| Entity Type | Individual |
| Full Name | YVETTE ANTOINETTE JACKSON |
| Credential | LCSW |
| Practice Address |
400 Corporate Pointe Suite 300 Culver City CA 90230-7620 |
| Practice Telephone | 3232980752 |
| Practice Fax Number | 3232985893 |
| Mailing Telephone | 3232980752 |
| Mailing Fax Number | 3232985893 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
65069 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063927853 | Yvette Lisa Jackson | Social Worker | 223 N 6th St Ste 230, Boise, ID 83702-5954 | 2017-12-03 |
| 1366809774 | Yvette Jackson | Counselor | 2601 Hilltop Dr Apt 1328, #1328, Richmond, CA 94806-5796 | 2016-01-15 |
| 1760420004 | Yvette Williams Jackson | Nurse Anesthetist, Certified Registered | 619 19 The St S, Suite Room-jt 845, Birmingham, AL 35249-1900 | 2006-06-02 |
| Street Address |
400 CORPORATE POINTE SUITE 300 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-7620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871525089 | Lucyna Iga Gaj | Marriage & Family Therapist | 400 Corporate Pointe, Aucc, Culver City, CA 90230-7615 | 2006-07-07 |
| 1235531708 | Premier Sleep Solutions | Dentist | 400 Corporate Pointe, Suite 300, Culver City, CA 90230-7615 | 2014-09-16 |
| 1124449426 | Carmon Nacole Williams | Social Worker | 400 Corporate Pointe, 300, Culver City, CA 90230-7615 | 2014-01-04 |
| 1134466964 | Valerie Sharon Klayman | Marriage & Family Therapist | 400 Corporate Pointe, Culver City, CA 90230-7615 | 2013-01-14 |
| 1497009658 | Diana M Pash | Marriage & Family Therapist | 400 Corporate Pointe, Suite A4000, Culver City, CA 90230-7615 | 2012-11-08 |
| 1841508975 | Janet Allen | Psychologist | 400 Corporate Pointe, Ste. 300, Culver City, CA 90230-7615 | 2010-09-23 |
| 1629382270 | Tender Loving Care Medical Social Worker Agency, Inc. | Case Management | 400 Corporate Pointe, Suite 300, Culver City, CA 90230-7615 | 2010-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063954261 | Maryann Vaz | Social Worker | 11306 Hannum Ave, Culver City, CA 90230-6129 | 2016-11-06 |
| 1184004368 | Mirna Cervantes | Social Worker | 5183 Overland Ave Ste C, Culver City, CA 90230-4990 | 2015-06-03 |
| 1023495009 | Emily Graham | Social Worker | 9050 1/2 Krueger St, Culver City, CA 90232-2511 | 2015-04-29 |
| 1487940862 | Angela Coulter | Social Worker | 4073 Charles Ave, Culver City, CA 90232-4006 | 2011-06-23 |
| 1457660128 | Janice Leslie Segal Schwartz | Social Worker | 10956 Lindblade St, Culver City, CA 90230-4236 | 2010-09-29 |
| 1831412287 | Leela Satya Rao | Social Worker | 11246 Rudman Dr, Culver City, CA 90230-5504 | 2010-03-11 |
| 1235465378 | Jessica Klein | Social Worker | 5855 Green Valley Cir Ste 202, Culver City, CA 90230-6968 | 2009-10-24 |
| 1477787216 | Rebecca Gorban | Social Worker | 5026 Maytime Ln, Culver City, CA 90230-5056 | 2009-05-07 |
| 1588862650 | Timothy Patrick Morrison | Social Worker | 8880 Carson St, Culver City, CA 90232-2406 | 2007-07-10 |
| 1669699401 | Barbara Jo Crofford | Social Worker | 3940 Van Buren Pl, Culver City, CA 90232-2826 | 2007-04-20 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
Please comment or provide details below to improve the information on YVETTE ANTOINETTE JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.