SHANA JACKSON LCSW
NPI 1639552094
Social Worker - Clinical in Roanoke, VA

Q: What is Shana Jackson's NPI number?

The NPI number for Shana Jackson is 1639552094. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Q: What is Shana Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shana Jackson was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since July 02, 2015PECOS Enrolled

3517 BRANDON AVE SW, ROANOKE, VA 24018(540) 981-1102 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shana Jackson Lcsw NPPES

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

SHANA JACKSON LCSW (NPI 1639552094) is an individual clinical provider in Roanoke, Virginia, licensed in Virginia (0904009062) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639552094

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHANA JACKSONCredential: LCSW

Location Address3517 BRANDON AVE SWRoanoke, VA 24018-1523

Mailing Address3517 Brandon Ave SwRoanoke, VA 24018-1523 · (540) 981-1102

Phone(540) 981-1102

Sole ProprietorNo

Enumeration DateJuly 2, 2015

Last NPPES UpdateMay 3, 2017

✔ NPI 1639552094 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 VA · 0904009062

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.

3517 BRANDON AVE SW, Roanoke, VA 24018

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shana Jackson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shana Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Embrace Counseling Services, LLC

2.0 mi

Mental Health

3524 BRAMBLETON AVE, SUITE 2
Roanoke, VA 24018

Reassigned Medicare billing, Virginia enrollment

NPI 1184150781 (540) 819-4353

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24018 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 $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 17

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

ELIZABETH BOMAR MEADOWS L.C.S.W.

Social Worker (Clinical)