Samantha Nailah Mitchelle Jackson
Samantha Nailah Mitchelle Jackson is a Clinical Social Worker provider (Social Worker) practicing in Carson, CA, registered in the NPPES registry with NPI 1720653603 since 2021. Practices at Star View Behavioral Health, Inc. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720653603 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Samantha Nailah Mitchelle Jackson |
| Sex | Female |
| Practice address | 649 E ALBERTONI ST STE 100, Carson, CA, 90746 |
| Phone | 3104369300 |
| Enumeration date | 2021-05-24 |
| Last updated in NPPES | 2026-04-30 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Primary | 137898 | CA |
| 101YM0800X | Mental Health Counselor | Secondary | 102031 | CA |
| 101YM0800X | Mental Health Counselor | Secondary | ACSW102031 | CA |
| 104100000X | Social Worker | Secondary | ACSW102031 | CA |
Copy-ready billing details
Provider: Samantha Jackson NPI: 1720653603 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 649 E ALBERTONI ST STE 100, Carson, CA, 90746
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851436711 | Livier Sandoval | Individual | Clinical Social Worker | Carson, CA |
| 1396878443 | Norma Dominguez-Fabian | Individual | Marriage & Family Therapist | Carson, CA |
| 1245413988 | Martha Zamora | Individual | Peer Specialist | Carson, CA |
| 1659543189 | Kasey Bland | Individual | Marriage & Family Therapist | Carson, CA |
| 1932345824 | Teresa Nelson | Individual | Clinical Social Worker | Carson, CA |
| 1275813073 | Edith Mercado-Jimenez | Individual | Rehabilitation Practitioner | Carson, CA |
| 1750641445 | Star View Behavioral Health, Inc. | Organization | Community/Behavioral Health Agency | Carson, CA |
| 1538414818 | Jesenya Fraga | Individual | Day Training/Habilitation Specialist | Carson, CA |
Verify this record
Cross-check NPI 1720653603 against the authoritative CMS record: view Samantha Nailah Mitchelle Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-30.