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

Charmaine Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1407181712

Charmaine Jackson, LCSW is a Clinical Social Worker in Pasadena, California. Qualified in 2010, 16 years ago. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

680 E Colorado Blvd Ste 180&2ND
Pasadena, CA 91101-6143
Phone: (626) 941-7645
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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 LCSW78456 (CA)

Record details

NPI number1407181712
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 5, 2009
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated

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