Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon L Jackson, MSW, LICSW, LADC

Individual provider Clinical Social Worker · NPI 1194615336

Shannon L Jackson, MSW, LICSW, LADC is a Clinical Social Worker in Duluth, Minnesota. Qualified in 2022, 4 years ago. Practices with Human Development Center, a 40-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2025
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

120 W 2nd St
Duluth, MN 55802-2017
Phone: (218) 728-4491
Fax: (218) 728-4404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 40 11th St, Cloquet, MN 55720-1817 — (218) 879-4559
  • 1401 East 1st Street, Duluth, MN 55805 — (218) 728-4491
  • 810 E 4th St, Duluth, MN 55805-2147 — (218) 728-4491
  • 4720 Burning Tree Rd, Duluth, MN 55811-2634 — (218) 728-4491
  • 325 11th Ave, Two Harbors, MN 55616-1300 — (218) 834-5520

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 31007 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304733 (MN)

Record details

NPI number1194615336
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW , LADC
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Human Development Center — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Duluth