MS. SHAETONNA MARIE JACKSON MSW-LSW
NPI 1821376344
Social Worker - Clinical in Las Vegas, NV

NPI Status: Active since August 01, 2011

Contact Information

2820 W CHARLESTON BLVD
C23
LAS VEGAS, NV
ZIP 89102
Phone: (702) 437-4673
Fax: (702) 438-4673

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  • Individual
  • Female
  • Social Worker
  • Clinical

About SHAETONNA JACKSON

This page provides the complete NPI Profile along with additional information for Shaetonna Jackson, a provider established in Las Vegas, Nevada with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1821376344 assigned on August 2011. The practitioner's primary taxonomy code is 1041C0700X with license number IC-691 (NV). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1821376344
Provider Name
MS. SHAETONNA MARIE JACKSON MSW-LSW
Gender
Female
Entity Type
Individual
Location Address
2820 W CHARLESTON BLVD C23 LAS VEGAS, NV 89102
Location Phone
(702) 437-4673
Location Fax
(702) 438-4673
Mailing Address
995 SIERRA VISTA DR APT. 328 LAS VEGAS, NV 89169
Mailing Phone
(765) 635-7698
Is Sole Proprietor?
No
Enumeration Date
08-01-2011
Last Update Date
09-08-2011
Code Navigator

A clinical social worker like Shaetonna Jackson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
IC-691
License State
NV
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

6011-S (NV)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821376344
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841671238
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 6 + 7 + 1 + 2 + 3 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1821376344 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467580407QUALITY NURSING LLC
Organization
Home Health2820 W CHARLESTON BLVD #D-40
LAS VEGAS, NV 89102
(702) 531-8933
1871706598 JANICE ARANAS MS, CCC-SLP
Individual
Speech-Language Pathologist2820 W CHARLESTON BLVD SUITE 38-D
LAS VEGAS, NV 89102
(702) 877-0808
1396940557 TERRY G PFAU D.O., H.M.D.
Individual
General Practice2820 W CHARLESTON BLVD STE 6
LAS VEGAS, NV 89102
(702) 258-7860
1780869602DEPENDABLE DIAGNOSTICS CENTER, INC.
Organization
Specialist/Technologist, Other2820 W CHARLESTON BLVD #B20
LAS VEGAS, NV 89102
(702) 270-2224
1407033269THOR MONGIE D C LTD
Organization
Chiropractor (Radiology)2820 W CHARLESTON BLVD #A6
LAS VEGAS, NV 89102
(702) 258-7860
1144490269THERAPY PLACE, LLC
Organization
Speech-Language Pathologist2820 W CHARLESTON BLVD SUITE D38
LAS VEGAS, NV 89102
(702) 877-0808
1891938015 MIRNA G BERNABE LMFTI, CADCI
Individual
Marriage & Family Therapist2820 W CHARLESTON BLVD #23
LAS VEGAS, NV 89102
(702) 824-4878
1447483607 VALERIE HOWARD WILCOX
Individual
Marriage & Family Therapist2820 W CHARLESTON BLVD
LAS VEGAS, NV 89102
(702) 437-4673
1538495627MS. QINGFANG ZHANG MSW
Individual
Social Worker2820 W CHARLESTON BLVD #23
LAS VEGAS, NV 89102
(702) 437-4673
1275853053MRS. AMY HIATT M.S. CCC-SLP
Individual
Speech-Language Pathologist2820 W CHARLESTON BLVD ST. 40D
LAS VEGAS, NV 89102
(702) 877-0808
1487965505SCOTT BRADY, D.C., LTD.
Organization
Chiropractor2820 W CHARLESTON BLVD SUITE #6
LAS VEGAS, NV 89102
(792) 258-7860
1427359512 REBECCA ANNE SAMPLES CSW-INTERN
Individual
Social Worker2820 W CHARLESTON BLVD #C23
LAS VEGAS, NV 89102
(702) 437-4673
1124325576MR. SAMUEL H AGULIAN M.A.
Individual
Counselor (Mental Health)2820 W CHARLESTON BLVD C-23
LAS VEGAS, NV 89102
(702) 437-4673
1508163783MRS. RUBY MAE JONES
Individual
Counselor (Mental Health)2820 W CHARLESTON BLVD
LAS VEGAS, NV 89102
(702) 497-0039
1003113077MR. LUIS ALBERTO CAMARGO
Individual
Rehabilitation Practitioner2820 W CHARLESTON BLVD #C23
LAS VEGAS, NV 89102
(702) 437-4673
1215236286MRS. ADRIANA RUKAVINA M.S., SLP
Individual
Speech-Language Pathologist2820 W CHARLESTON BLVD SUITE D-38
LAS VEGAS, NV 89102
(702) 877-0808
1053610014MRS. SONYA ROBY QMHA
Individual
Rehabilitation Practitioner2820 W CHARLESTON BLVD SUITE C23
LAS VEGAS, NV 89102
(702) 437-4673
1134419880 CHRISTINE E. HAMBLY
Individual
Rehabilitation Practitioner2820 W CHARLESTON BLVD #C23
LAS VEGAS, NV 89102
(702) 437-4673
1740571975MS. MICHELE COLTON JONES
Individual
Rehabilitation Practitioner2820 W CHARLESTON BLVD
LAS VEGAS, NV 89102
(702) 437-4673
1720379779 ETHEL LEONA SIMPSON B.S.
Individual
Counselor (Mental Health)2820 W CHARLESTON BLVD C23
LAS VEGAS, NV 89102
(702) 437-4673

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821376344, enumerated in the NPI registry as an "individual" on August 01, 2011

The provider is located at 2820 W Charleston Blvd C23 Las Vegas, Nv 89102 and the phone number is (702) 437-4673

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on August 01, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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