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Lance Ronald Jackson , ACSW

Social Worker β€’ Altadena, CA

Active NPI 1548581416 Individual Practitioner Male Practitioner
Practice location in NPPES

2933 El Nido Dr
Altadena, CA 910014599

Call 6263957100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2933 El Nido Dr

Altadena, CA 910014599

Telephone 6263957100
Organization at the Same NPPES Address or Phone
Hathaway-Sycamores Child And Family Services Facility NPI 1801927363

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Altadena and California

18 active clinicians are listed under Social Worker with a practice address in Altadena, CA (10,337 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Altadena

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-01
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES CA ASW111334

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
6758 (CA)
Medicaid ID
7068 (CA)
Medicaid ID
7420 (CA)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸ“
Updated Practice Location August 01, 2024

Registered at 2933 EL NIDO DR, ALTADENA, CA 910014599 (Tel: 6263957100)

πŸ“
Updated Business Mailing Address August 01, 2024

Registered at 840 N AVENUE 66, LOS ANGELES, CA 900421508 (Tel: 6263957100)

πŸ‘€
Provider Name / Credentials Updated August 01, 2024

Recorded as LANCE JACKSON, ACSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Social Worker (license number reported to NPPES: CA ASW111334)

πŸ“
Updated Practice Location April 05, 2018

Registered at 851 N OAKLAND AVE, PASADENA, CA 911044343 (Tel: 6263957100)

πŸ“
Updated Business Mailing Address April 05, 2018

Registered at 851 N OAKLAND AVE, PASADENA, CA 911044343 (Tel: 6263957100)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2018

Rehabilitation Practitioner

βœ…
NPI Profile Active November 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 13, 2017

Registered at 12450 VAN NUYS BLVD STE 200, PACOIMA, CA 913311393 (Tel: 8188961161)

πŸ“
Updated Business Mailing Address November 13, 2017

Registered at 12450 VAN NUYS BLVD STE 200, PACOIMA, CA 913311393 (Tel: 8188961161)

πŸ‘€
Provider Name / Credentials Updated November 13, 2017

Recorded as LANCE JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2017

Case Manager/Care Coordinator

βœ…
NPI Profile Active June 15, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 15, 2010

Registered at 12510 VAN NUYS BLVD, STE. #201, PACOIMA, CA 913311338 (Tel: 6263957100)

πŸ“
Business Mailing Address (Initial Record) June 15, 2010

Registered at 12510 VAN NUYS BLVD, STE. #201, PACOIMA, CA 913311338 (Tel: 6263957100)

πŸ‘€
Provider Name / Credentials (Initial Record) June 15, 2010

Recorded as LANCE JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2010

Rehabilitation Practitioner

🟒
Initial NPI Registration & Enumeration June 15, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548581416
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2010
Last Update: August 01, 2024
Sole Proprietor: No

Mailing Address

840 N Avenue 66

Los Angeles, CA 900421508

Phone: 6263957100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.