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

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: August 02, 2026.

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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Medicare Participation & PECOS CMS

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

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.

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)
3517 BRANDON AVE SW
ROANOKE, VA 24018
Roanoke County (540) 344-4042
SARAH BLAIR BISHOP LPC, CSAC
Counselor (Professional)
3517 BRANDON AVE SW
ROANOKE, VA 24018
Roanoke County (540) 981-1102
MRS. BRANDIE LATRICE FRACTION LPC
Counselor (Professional)
3517 BRANDON AVE SW
ROANOKE, VA 24018
Roanoke County (540) 344-4042
SARAH WATKINS LPC
Counselor (Professional)
3517 BRANDON AVE SW
ROANOKE, VA 24018
Roanoke County (540) 981-1102
HOWARD W. SHUMATE MS, LPC, CSAC, MAC
Counselor (Professional)
3517 BRANDON AVE SW
ROANOKE, VA 24018
Roanoke County (540) 981-1102
MR. TODD DOUGLAS STANLEY LPC
Counselor (Mental Health)
3517 BRANDON AVE SW
ROANOKE, VA 24018
Roanoke County (540) 981-1102
DAMIAN AYALA LPC
Counselor (Professional)
3517 BRANDON AVE SW
ROANOKE, VA 24018
Roanoke County (540) 981-1102
DANIELLA VERONICA PERLA
Social Worker (Clinical)
3517 BRANDON AVE SW
ROANOKE, VA 24018
Roanoke County (540) 981-1102

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 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.

Where is Shana Jackson located?

Shana Jackson practices at 3517 Brandon Ave SW, Roanoke, VA 24018. The listed phone number is (540) 981-1102.

What is Shana Jackson's specialty?

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

Is Shana Jackson enrolled in Medicare?

Yes. Shana Jackson is registered in the Medicare PECOS enrollment system.

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.