Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHASA JACKSON, LCSW, DBH
ActiveDR. SHASA JACKSON, LCSW, DBH is a Clinical Social Worker healthcare provider located in AVONDALE, Arizona. NPI 1013640036 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · AVONDALE, AZ
Registration Details
- NPI Number
- 1013640036
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2022 (4.1039702576131 yrs)
- Last Updated
- Jul 7, 2022
- License
-
LCSW-20522 (AZ)
Practice Information
- Address
-
950 E VAN BUREN STAVONDALE, AZ, 853231506Browse AZ providers · Browse ZIP 85323
- Phone
- 6233446860
- Fax
- 6026559682
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in AVONDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| MISS THERESA BELTRAN | LCSW | 1093892184 |
| MR. JAY LAMBERT | LCSW | 1467658542 |
| MINDY HUANG | LCSW | 1407177066 |
| DIANA P APOLINAR | LCSW | 1972882165 |
| STEPHANIE AMARIS PORTILLO | LCSW | 1912344656 |
| FLORIANN BLACKHORSE | LCSW | 1386040608 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.