Shasa Jackson, LCSW, DBH
NPI 1013640036 · Clinical Social Worker · Avondale, AZ
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shasa Jackson, LCSW, DBH is a Clinical Social Worker provider in Avondale, AZ (NPI 1013640036).
Provider details
- NPI number
- 1013640036
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, DBH
- Sex
- Female
- Sole proprietor
- No
- License
- LCSW-20522 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-07
- Last updated
- 2022-07-07
- Certified
- 2022-06-27
Frequently asked questions
- What is Shasa Jackson's NPI number?
- Shasa Jackson's National Provider Identifier (NPI) is 1013640036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shasa Jackson's specialty?
- Shasa Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shasa Jackson located?
- Shasa Jackson's practice location on file with NPPES is 950 E Van Buren St, Avondale, AZ 85323-1506.
- What is Shasa Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shasa Jackson is (623) 344-6860.
- Does Shasa Jackson accept Medicare?
- Shasa Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shasa Jackson's NPI active?
- Yes — Shasa Jackson's NPI (1013640036) is active in the NPPES registry as of the last update on 2022-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.