Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Shantell Annette Parker-Jackson, MSW

Individual provider Clinical Social Worker · NPI 1407973795

MS. Shantell Annette Parker-Jackson, MSW is a Clinical Social Worker in Detroit, Michigan. Works from 2 locations. Licensed in California and Michigan.

Licensed in
CA, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 — (310) 478-3711

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801088104 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW27105 (CA)

Record details

NPI number1407973795
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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