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

Mrs. Tienna Stephanie Jackson

Individual provider Clinical Social Worker · NPI 1194976225

Mrs. Tienna Stephanie Jackson is a Clinical Social Worker in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
5
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Practice location Address checks out

3132 Jefferson St
San Diego, CA 92110-4421
Phone: (619) 683-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7828 Broadway, Lemon Grove, CA 91945-1801 — (619) 876-4470

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 89122 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1194976225
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2008
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

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