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

MS. La Tina Monique Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1144395658

MS. La Tina Monique Jackson, LCSW is a Clinical Social Worker in Granada Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

10605 Balboa Blvd Ste 100
Granada Hills, CA 91344-6342
Phone: (818) 832-2400
Fax: (818) 832-2567
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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 23512 (CA)

Record details

NPI number1144395658
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 21, 2006
Last updated in NPPESFebruary 9, 2009

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