Ms Shenelle Jackson, MSW, LCSW is a
Social Worker - Clinical based in Oakland, California. Ms Shenelle Jackson is licensed to practice in California (license number ) and her current practice location is
3301 E 12th St, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 269-9030.
NPI number for Ms Shenelle Jackson is 1780167437 and her current mailing address is 4142 E Morada Lane, 2202, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780167437.
Healthcare Provider's Profile
| Full Name | Ms Shenelle Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3301 E 12th St, Oakland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780167437
- Provider Enumeration Date: 09/10/2018
- Last Update Date: 05/04/2022
Medical Identifiers
Medical identifiers for Ms Shenelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780167437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shenelle Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Shenelle Jackson, MSW, LCSW
4142 E Morada Lane, 2202,
Stockton, CA 95212
Ph: (240) 338-0507 | Ms Shenelle Jackson, MSW, LCSW
3301 E 12th St,
Oakland, CA 94601-3424
Ph: (510) 269-9030 |
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