Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chanell Jackson

Individual provider Clinical Social Worker · NPI 1114402492

Chanell Jackson is a Clinical Social Worker in Lynwood, California. Graduated from University of Southern California Keck School of Medicine in 2013, 13 years ago. Practices with Chris E Esguerra MD PC, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone: (310) 900-4619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 110237 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 89545 (CA)

Record details

NPI number1114402492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address3630 E Imperial Hwy, Lynwood, CA 90262-2609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Chris E Esguerra Md Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lynwood