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

Mrs. Gina Michelle Carrillo-Jackman, LCSW

Individual provider Clinical Social Worker · NPI 1053018911

Mrs. Gina Michelle Carrillo-Jackman, LCSW is a Clinical Social Worker in Oak Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

6193 Barons Way
Oak Park, CA 91377-5849
Phone: (818) 584-6395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 21810 (CA)

Record details

NPI number1053018911
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 10, 2023
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023

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