Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Shantya Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1194340265

MS. Shantya Jackson, LCSW is a Clinical Social Worker in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

601 N Pecos Rd
Las Vegas, NV 89101-2408
Phone: (808) 205-6622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10483-C (NV)

Record details

NPI number1194340265
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 14, 2020
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

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