Individual provider · Type 1 NPI

Shenelle Jackson, MSW, LCSW

Clinical Social Worker · Oakland, CA

NPI number 1780167437 Active

Practice location

3301 E 12th St
Oakland, CA 94601-3424

Call (510) 269-9030 Map

Mailing address

4142 E Morada Lane, 2202
Stockton, CA 95212

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1780167437

Shenelle Jackson, MSW, LCSW's National Provider Identifier is 1780167437, issued on Sep 10, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on May 4, 2022.