IndividualActive
Shantanique Jackson
NPI 1396310595 · Clinical Social Worker · Detroit, MI
Shantanique Jackson is a Clinical Social Worker provider in Detroit, MI (NPI 1396310595).
Provider details
- NPI number
- 1396310595
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6801119838 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
24306 Chippewa St
Detroit, MI 48219-1058
Phone: (313) 695-6244
Street-level locationGet directions
Mailing address
24306 Chippewa St
Detroit, MI 48219-1058
Registry dates
- Enumerated
- 2021-05-21
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Frequently asked questions
- What is Shantanique Jackson's NPI number?
- Shantanique Jackson's National Provider Identifier (NPI) is 1396310595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shantanique Jackson's specialty?
- Shantanique Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shantanique Jackson located?
- Shantanique Jackson's practice location on file with NPPES is 24306 Chippewa St, Detroit, MI 48219-1058.
- What is Shantanique Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shantanique Jackson is (313) 695-6244.
- Is Shantanique Jackson's NPI active?
- Yes — Shantanique Jackson's NPI (1396310595) is active in the NPPES registry as of the last update on 2026-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.