Shana Jackson, LCSW
NPI 1639552094 · Clinical Social Worker · Roanoke, VA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shana Jackson, LCSW is a Clinical Social Worker provider in Roanoke, VA (NPI 1639552094).
Provider details
- NPI number
- 1639552094
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 0904009062 (VA)
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
10 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
- 2015-07-02
- Last updated
- 2017-05-03
Frequently asked questions
- What is Shana Jackson's NPI number?
- Shana Jackson's National Provider Identifier (NPI) is 1639552094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shana Jackson's specialty?
- Shana Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shana Jackson located?
- Shana Jackson's practice location on file with NPPES is 3517 Brandon Ave Sw, Roanoke, VA 24018-1523.
- What is Shana Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shana Jackson is (540) 981-1102.
- Does Shana Jackson accept Medicare?
- Shana Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shana Jackson's NPI active?
- Yes — Shana Jackson's NPI (1639552094) is active in the NPPES registry as of the last update on 2017-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.