Individual provider · Type 1 NPI

Shatara Jackson, LCSW

Clinical Social Worker · Savannah, GA

NPI number 1033660949 Active

Practice location

5 Mall Anx
Savannah, GA 31406-4738

Call (912) 495-8887 Map

Fax (912) 495-8881

Mailing address

50 S Parkwood Dr
Savannah, GA 31404-5213

Other practice locations

  • 6711 Forest Park Dr, Savannah, GA 31406-2507 · (912) 429-8452
  • 50 S Parkwood Dr, Savannah, GA 31404-5213 · (912) 507-0326

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700X15612 (SC)
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Clinical Social Worker Primary 1041C0700XCSW008276 (GA)

Clinical Social Worker: 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 interpers…

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About NPI 1033660949

Shatara Jackson, LCSW's National Provider Identifier is 1033660949, issued on Oct 17, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Savannah, GA. The record was last updated on Apr 6, 2023.