Active NPI
Shalonna M Jackson, LSW
- Social Worker
- Akron, OH
National Provider Identifier
1639525876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S1600175
- Practice address
- 611 W Market St
Akron, OH 44303-1411 - Phone
- (330) 996-4600
- Fax
- (330) 643-0767
- NPI assigned
- May 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S1600175 | OH | Primary |
Addresses
Primary practice location
611 W Market St
Akron, OH 44303-1411
Mailing address
282 W Bowery St
Akron, OH 44307-2573
Phone (330) 996-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1600175 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastoral Counseling Service of Summit Co Inc | Current | Accepting new patients | |
| Pastoral Counseling Service of Summit County | Past | Accepting new patients |
Locations
611 W Market St
Akron, OH 44303
Phone (330) 996-4600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1073925624
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1790819852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1639525876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 W BOWERY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443072573",
"telephone_number": "330-996-4600",
"fax_number": "330-643-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031411",
"telephone_number": "330-996-4600",
"fax_number": "330-643-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "SHALONNA",
"middle_name": "M",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1600175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.