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

Randi Marie Jackson, ASW

Individual provider Mental Health Counselor · NPI 1548832199

Randi Marie Jackson, ASW is a Mental Health Counselor in Los Angeles, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4401 Crenshaw Blvd
Los Angeles, CA 90043-1227
Phone: (323) 290-8360
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1548832199
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021

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