Shatara Jackson, LCSW
NPI 1033660949 · Clinical Social Worker · Savannah, GA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shatara Jackson, LCSW is a Clinical Social Worker provider in Savannah, GA (NPI 1033660949).
Provider details
- NPI number
- 1033660949
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 6711 Forest Park DrSavannah, GA 31406-2507Phone: (912) 429-8452
- 50 S Parkwood DrSavannah, GA 31404-5213Phone: (912) 507-0326
Registry dates
- Enumerated
- 2016-10-17
- Last updated
- 2023-04-06
- Certified
- 2023-04-06
Frequently asked questions
- What is Shatara Jackson's NPI number?
- Shatara Jackson's National Provider Identifier (NPI) is 1033660949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shatara Jackson's specialty?
- Shatara Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shatara Jackson located?
- Shatara Jackson's practice location on file with NPPES is 5 Mall Anx, Savannah, GA 31406-4738.
- What is Shatara Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shatara Jackson is (912) 495-8887.
- Does Shatara Jackson accept Medicare?
- Shatara Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shatara Jackson's NPI active?
- Yes — Shatara Jackson's NPI (1033660949) is active in the NPPES registry as of the last update on 2023-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.