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

Individual provider Mental Health Counselor · NPI 1487721817

Elisha D Jackson, LCSW is a Mental Health Counselor in Long Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
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

240 E 20th St
Long Beach, CA 90806
Phone: (562) 218-4098
Fax: (562) 218-4076
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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 LCS 26325 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 16946 (CA)

Record details

NPI number1487721817
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESMarch 29, 2011

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