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MS. SHANTYA JACKSON LCSW
NPI 1194340265
Social Worker - Clinical in Las Vegas, NV

Active since June 14, 2020
601 N PECOS RD, LAS VEGAS, NV 89101(808) 205-6622 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2024, Jul 20, 2021, Jun 14, 2020 (3 updates tracked since 2020).

About Ms. Shantya Jackson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHANTYA JACKSON LCSW (NPI 1194340265) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (10483-C) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1194340265
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHANTYA JACKSONCredential: LCSW
Location Address601 N PECOS RDLas Vegas, NV 89101-2408
Mailing Address601 N Pecos RdLas Vegas, NV 89101-2408 · (808) 205-6622
Phone(808) 205-6622
Sole ProprietorYes
Enumeration DateJune 14, 2020
Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1194340265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NV · 10483-C
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
601 N PECOS RD, Las Vegas, NV 89101
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARK COUNTY JUVENILE JUSTICE SERVICES
Social Worker (Clinical)
601 N PECOS RD
LAS VEGAS, NV 89101
Clark County (702) 455-5210
NANCY C OSTROM MFT
Marriage & Family Therapist
601 N PECOS RD
LAS VEGAS, NV 89101
Clark County (702) 455-3916
CLARK COUNTY DEPARTMENT OF JUVENILE JUSTICE
Case Management
601 N PECOS RD
LAS VEGAS, NV 89101
Clark County (702) 455-6402
CLARK COUNTY
Community/Behavioral Health
601 N PECOS RD
LAS VEGAS, NV 89101
Clark County (702) 455-5226
MR. EDWIN CIRAME L.C.P.C.
Counselor (Mental Health)
601 N PECOS RD
LAS VEGAS, NV 89101
Clark County (702) 455-5225
MRS. DAWN MARIE MOORE M.S., MFT, LADC
Counselor (Addiction (Substance Use Disorder))
601 N PECOS RD, PSYCHOLOGICAL SERVICES UNIT
LAS VEGAS, NV 89101
Clark County (702) 455-2202
JOSEPHINE BONOMO
Marriage & Family Therapist
601 N PECOS RD
LAS VEGAS, NV 89101
Clark County (702) 455-4654
MS. CHERYL LYNN WRIGHT LCSW
Social Worker (Clinical)
601 N PECOS RD, BUILDING A
LAS VEGAS, NV 89101
Clark County (702) 455-5226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shantya Jackson's NPI number?

The NPI number for Shantya Jackson is 1194340265. It was assigned to this individual provider in the NPPES registry on June 14, 2020.

Where is Shantya Jackson located?

Shantya Jackson practices at 601 N Pecos Rd, Las Vegas, NV 89101. The listed phone number is (808) 205-6622.

What is Shantya Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shantya Jackson was last updated on September 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.