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

Shanae Jackson

Individual provider Social Worker · NPI 1679140404

Shanae Jackson is a Social Worker in Las Vegas, Nevada. Practices as a sole proprietor and works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4285 N Rancho Dr Ste 160
Las Vegas, NV 89130-3456
Phone: (702) 835-1922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3435 W Craig Rd Ste C, North Las Vegas, NV 89032-5116 — (702) 929-3297

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Home Health Aide Taxonomy 374U00000X · Licence 1306384219 (NV)

Record details

NPI number1679140404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2021
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

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