Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548581416 Individual Practitioner Male Practitioner

Lance Ronald Jackson , ACSW

Social Worker • Altadena, CA

Professional Overview & Biography Verified Profile Summary

Lance Jackson, ACSW is a registered healthcare professional specializing in Social Worker in Altadena, CA. Practice services are available at 2933 EL NIDO DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2933 El Nido Dr

Altadena, CA 910014599

Telephone 6263957100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Altadena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Altadena, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-01
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jennie Mathess , PsyD

Psychologist - Clinical

NPI 1003035304

Doctor of Psychology (Psy.D.)

Mark Winkler

Rehabilitation Practitioner

NPI 1003087677
Martha Gonzalez

Rehabilitation Practitioner

NPI 1003129974
Ruby Garcia , LPT

Licensed Psychiatric Technician

NPI 1003158932
Jennifer Beckwith

Marriage & Family Therapist

NPI 1003159229
Tarik Blair

Rehabilitation Practitioner

NPI 1003188582

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location August 01, 2024

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

📍
Updated Business Mailing Address August 01, 2024

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

👤
Provider Name / Credentials Updated August 01, 2024

Recorded as LANCE JACKSON, ACSW

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

Social Worker (License #ASW111334 in CA)

📍
Updated Practice Location April 05, 2018

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

📍
Updated Business Mailing Address April 05, 2018

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

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

Rehabilitation Practitioner

NPI Profile Active November 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2017

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

📍
Updated Business Mailing Address November 13, 2017

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

👤
Provider Name / Credentials Updated November 13, 2017

Recorded as LANCE JACKSON

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

Case Manager/Care Coordinator

NPI Profile Active June 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2010

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

📍
Updated Business Mailing Address June 15, 2010

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

👤
Provider Name / Credentials Updated June 15, 2010

Recorded as LANCE JACKSON

🎓
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.

Patient & Community Reviews

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.