Individual provider · Type 1 NPI

Shatamra Jackson, MSW

Clinical Social Worker · Charlotte, NC

NPI number 1255929253 Active

Practice location

5200 Park Rd
Charlotte, NC 28209-3650

Mailing address

5200 Park Rd Ste 218-B
Charlotte, NC 28209-3650

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP015378 (NC)

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 1255929253

Shatamra Jackson, MSW's National Provider Identifier is 1255929253, issued on Jan 5, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jan 13, 2021.