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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316292519

Symone Jackson, LCSW is a Student in an Organized Health Care Education/Training Program in Culver City, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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

9808 Venice Blvd Ste 700
Culver City, CA 90232-2732
Phone: (310) 945-3350
Fax: (310) 840-7023
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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 79941 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316292519
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 13, 2012
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021

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