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

Shantanique Jackson

Individual provider Clinical Social Worker · NPI 1396310595

Shantanique Jackson is a Clinical Social Worker in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

24306 Chippewa St
Detroit, MI 48219-1058
Phone: (313) 695-6244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801119838 (MI)

Record details

NPI number1396310595
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2021
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026

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