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SHANAE JACKSON
NPI 1679140404
Social Worker in Las Vegas, NV

Active since June 09, 2021
4285 N RANCHO DR STE 160, LAS VEGAS, NV 89130(702) 835-1922 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2025, Jun 9, 2021 (2 updates tracked since 2021).

About Shanae Jackson NPPES

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

SHANAE JACKSON (NPI 1679140404) is an individual social worker in Las Vegas, Nevada and active in the NPI registry since June 2021. She maintains a secondary practice location in North Las Vegas.

NPPES Registry Identity

NPI1679140404
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANAE JACKSON
Location Address4285 N RANCHO DR STE 160Las Vegas, NV 89130-3456
Mailing Address3435 W Craig Rd Ste CNorth Las Vegas, NV 89032-5116
Phone(702) 835-1922
Sole ProprietorYes
Enumeration DateJune 9, 2021
Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1679140404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedHome Health AideTaxonomy 374U00000X · License 1306384219 (NV)
4285 N RANCHO DR STE 160, Las Vegas, NV 89130
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Secondary Practice Location 1

Location 13435 W Craig Rd Ste CNorth Las Vegas, NV 89032-5116 · Phone (702) 929-3297

Other Identifiers 1

Medicaid1306384219NV

Other Providers at the Same Location NPPES 20

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

MYLES MARTIN
Rehabilitation Practitioner
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130
Clark County (702) 835-1915
JOSE ARCE
Rehabilitation Practitioner
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130
Clark County (702) 324-7061
CHRISTIAN LUZURIAGA
Rehabilitation Practitioner
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130
Clark County (702) 685-3459
JACLYN LUZURIAGA
Rehabilitation Practitioner
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130
Clark County (702) 685-3459
JAN ELIZABETH COLEMAN MFT-I
Marriage & Family Therapist
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130
Clark County (702) 685-3459
ANN R SMITH
Specialist
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130
Clark County (702) 807-9110
JACLYN UPWALL
Rehabilitation Practitioner
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130
Clark County (702) 685-3459
ANGELIA DE'VON VENERO
Assistant Behavior Analyst
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130
Clark County (702) 685-3459

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 Shanae Jackson's NPI number?

The NPI number for Shanae Jackson is 1679140404. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Shanae Jackson located?

Shanae Jackson practices at 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130. The listed phone number is (702) 835-1922.

What is Shanae Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Shanae Jackson was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.