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

Shannon Kris Jacobson, MSW

Individual provider Social Worker · NPI 1225510688

Shannon Kris Jacobson, MSW is a Clinical Social Worker in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Selah Counseling Center LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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

3200 Motor Ave
Los Angeles, CA 90034
Phone: (310) 836-1223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence ASW85634 (CA)

Record details

NPI number1225510688
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedSeptember 2, 2018
Last updated in NPPESSeptember 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Selah Counseling Center Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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