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SHANTANIQUE JACKSON
NPI 1396310595
Social Worker - Clinical in Detroit, MI

Active since May 21, 2021
24306 CHIPPEWA ST, DETROIT, MI 48219(313) 695-6244 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, May 21, 2021 (2 updates tracked since 2021).

About Shantanique Jackson NPPES

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

SHANTANIQUE JACKSON (NPI 1396310595) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801119838) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1396310595
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANTANIQUE JACKSON
Location Address24306 CHIPPEWA STDetroit, MI 48219-1058
Mailing Address24306 Chippewa StDetroit, MI 48219-1058
Phone(313) 695-6244
Sole ProprietorNo
Enumeration DateMay 21, 2021
Last NPPES UpdateFebruary 16, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1396310595 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 MI · 6801119838
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.
24306 CHIPPEWA ST, Detroit, MI 48219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

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

YNH THERAPIST, PLLC
Social Worker (Clinical)
24306 CHIPPEWA ST
DETROIT, MI 48219
Wayne County (313) 695-6244

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 Shantanique Jackson's NPI number?

The NPI number for Shantanique Jackson is 1396310595. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Shantanique Jackson located?

Shantanique Jackson practices at 24306 Chippewa St, Detroit, MI 48219. The listed phone number is (313) 695-6244.

What is Shantanique Jackson's specialty?

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

What insurance does Shantanique Jackson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shantanique 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 Shantanique Jackson was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.