Individual provider · Type 1 NPI

Shannon L. Jackson, MSW, LICSW, LADC

Clinical Social Worker · Duluth, MN

NPI number 1194615336 Active

Practice location

120 W 2nd St
Duluth, MN 55802-2017

Call (218) 728-4491 Map

Fax (218) 728-4404

Mailing address

1401 East 1st Street
Duluth, MN 55805

Other practice locations

4720 Burning Tree Rd, Duluth, MN 55811-2634 · (218) 728-4491
40 11th St, Cloquet, MN 55720-1817 · (218) 879-4559
325 11th Ave, Two Harbors, MN 55616-1300 · (218) 834-5520
810 E 4th St, Duluth, MN 55805-2147 · (218) 728-4491
1401 East 1st Street, Duluth, MN 55805 · (218) 728-4491

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	31007 (MN)
Addiction (Substance Use Disorder) Counselor	101YA0400X	304733 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194615336

Shannon L. Jackson, MSW, LICSW, LADC's National Provider Identifier is 1194615336, issued on Jul 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Duluth, MN. The record was last updated on Jul 8, 2025.