Individual provider · Type 1 NPI

Shantell Annette Parker-Jackson, MSW

Clinical Social Worker · Detroit, MI

NPI number 1407973795 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Mailing address

18695 Warrington Dr
Detroit, MI 48221-2271

Other practice locations

  • 11301 Wilshire Blvd, Bld. 500, Los Angeles, CA 90073-1003 · (310) 478-3711

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801088104 (MI)
Clinical Social Worker 1041C0700XLCSW27105 (CA)

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 1407973795

Shantell Annette Parker-Jackson, MSW's National Provider Identifier is 1407973795, issued on Mar 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Aug 3, 2026.