SHAYNA JACKSON
NPI 1861906638
Social Worker in Mentor, OH

Q: What is Shayna Jackson's NPI number?

The NPI number for Shayna Jackson is 1861906638. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Q: What is Shayna Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shayna Jackson was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 November 30, 2017PECOS Enrolled

9220 MENTOR AVE, MENTOR, OH 44060(440) 639-3581(440) 205-1009 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shayna Jackson NPPES

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

SHAYNA JACKSON (NPI 1861906638) is an individual social worker in Mentor, Ohio and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861906638

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSHAYNA JACKSON

Location Address9220 MENTOR AVEMentor, OH 44060-6412

Mailing Address9220 Mentor AveMentor, OH 44060-6412 · (440) 639-3581 · Fax (440) 205-1009

Phone(440) 639-3581

Fax(440) 205-1009

Sole ProprietorYes

Enumeration DateNovember 30, 2017

✔ NPI 1861906638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

9220 MENTOR AVE, Mentor, OH 44060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shayna Jackson 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.

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.

CHRISTINA A ANDERSON MA

Behavior Technician