Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON L JACKSON, MSW, LICSW, LADC
ActiveSHANNON L JACKSON, MSW, LICSW, LADC is a Clinical Social Worker healthcare provider located in DULUTH, Minnesota. NPI 1194615336 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · DULUTH, MN
Registration Details
- NPI Number
- 1194615336
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2025 (1.0812943644415 yrs)
- Last Updated
- Jul 8, 2025
- Licenses
-
31007 (MN)304733 (MN)
Practice Information
- Address
-
120 W 2ND STDULUTH, MN, 558022017Browse MN providers · Browse ZIP 55802
- Phone
- 2187284491
- Fax
- 2187284404
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Clinical Social Worker Providers in DULUTH, MN
| Name | Credential | NPI |
|---|---|---|
| MS. LINDA LOU DUHAIME | M.S.W. | 1750378600 |
| LESLIE ANN CHAPLIN | — | 1669417853 |
| MS. CAROL ANN JOHNSON | LICSW | 1659308351 |
| TODD E KNEEBONE | LICSW | 1750310512 |
| MARYANNE QUACKENBUSH | LICSW | 1538198494 |
| ROSE ANN HOENE | LICSW | 1538199872 |
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.