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

Individual provider Counselor · NPI 1780167437

MS. Shenelle Jackson, MSW, LCSW is a Counselor in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

3301 E 12th St
Oakland, CA 94601-3424
Phone: (510) 269-9030
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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 (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1780167437
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedSeptember 10, 2018
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022

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