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SHANNON L JACKSON MSW, LICSW, LADC
NPI 1194615336
Social Worker - Clinical in Duluth, MN

Active since July 08, 2025PECOS EnrolledAccepts Medicare Assignment
120 W 2ND ST, DULUTH, MN 55802(218) 728-4491(218) 728-4404 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon L Jackson Msw, Licsw, Ladc NPPES

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

SHANNON L JACKSON MSW, LICSW, LADC (NPI 1194615336) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (31007) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194615336
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON L JACKSONCredential: MSW, LICSW, LADC
Location Address120 W 2ND STDuluth, MN 55802-2017
Mailing Address1401 East 1st StreetDuluth, MN 55805 · (218) 728-4491 · Fax (218) 728-4404
Phone(218) 728-4491
Fax(218) 728-4404
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1194615336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 31007
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304733 (MN)
120 W 2ND ST, Duluth, MN 55802
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Other Names 1

Former Name (1)Shannon L Barragan

Secondary Practice Locations 5

Location 14720 Burning Tree RdDuluth, MN 55811-2634 · Phone (218) 728-4491 · Fax (218) 728-4404
Location 240 11th StCloquet, MN 55720-1817 · Phone (218) 879-4559 · Fax (218) 879-0282
Location 3325 11th AveTwo Harbors, MN 55616-1300 · Phone (218) 834-5520 · Fax (218) 834-4264
Location 4810 E 4th StDuluth, MN 55805-2147 · Phone (218) 728-4491 · Fax (218) 728-4404
Location 51401 East 1st StreetDuluth, MN 55805 · Phone (218) 728-4491 · Fax (218) 728-4404

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon L Jackson Msw, Licsw, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800304395
PECOS Enrollment IDI20250805003208
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

SARA A FIJALKIEWICZ MSW, LICSW
Social Worker (Clinical)
120 W 2ND ST
DULUTH, MN 55802
St. Louis County (218) 728-4491
MARIAH KRISTINE MCANDREW MSW, LICSW
Social Worker (Clinical)
120 W 2ND ST
DULUTH, MN 55802
St. Louis County (218) 728-4491
SIDNEY S THIMM LPCC
Counselor (Mental Health)
120 W 2ND ST
DULUTH, MN 55802
St. Louis County (218) 728-4491
SAVANNA WICK
Counselor (Mental Health)
120 W 2ND ST
DULUTH, MN 55802
St. Louis County (218) 728-4491
KYAH KIM ALTIERE LICSW
Social Worker (Clinical)
120 W 2ND ST
DULUTH, MN 55802
St. Louis County (218) 728-4491
LINDSAY RAE HANSEN
Social Worker (Clinical)
120 W 2ND ST
DULUTH, MN 55802
St. Louis County (218) 728-4491
PAIGE E LORENZ
Social Worker (Clinical)
120 W 2ND ST
DULUTH, MN 55802
St. Louis County (218) 728-4491
JAYME A LANGBEHN MSW, LICSW
Social Worker (Clinical)
120 W 2ND ST
DULUTH, MN 55802
St. Louis County (218) 728-4491

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 Shannon Jackson's NPI number?

The NPI number for Shannon Jackson is 1194615336. It was assigned to this individual provider in the NPPES registry on July 8, 2025. The provider is also known as Shannon L Barragan.

Where is Shannon Jackson located?

Shannon Jackson practices at 120 W 2nd St, Duluth, MN 55802. The listed phone number is (218) 728-4491.

What is Shannon Jackson's specialty?

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

Is Shannon Jackson enrolled in Medicare?

Yes. Shannon Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Jackson accept?

Health plans from HealthPartners list Shannon Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Jackson was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.