Individual provider · Type 1 NPI
Shantanique Jackson
Clinical Social Worker · Detroit, MI
Practice location
24306 Chippewa St
Detroit, MI 48219-1058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6801119838 (MI) |
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 1396310595
Shantanique Jackson's National Provider Identifier is 1396310595, issued on May 21, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Feb 16, 2026.