Shakeyau Jackson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904019127 Issued in VA

Practice address

8401 Mayland Dr # 6806
Richmond, VA 23294-4648

Phone

(804) 215-6497

NPI assigned

Sep 25, 2025

Last updated

Sep 11, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1659244614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR # 6806",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR # 6806",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "804-215-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHAKEYAU",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-09-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles Andrew Jackson, HAS
• Nechelle Jackson
• Nia Jackson, BCBA
• Richard Allen Jackson, M.D.
• Sara W. Jackson, OTR/L
• Shalanda Jackson, LCSW
• Shanteny Jackson
• Sherri Taylor Jackson, MD
• Tamika Jackson
• Timothy Jackson, MSW

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.