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Shatara Jackson, LCSW
Clinical Social Worker in Savannah, Georgia
NPI 1033660949

Shatara Jackson is a Clinical Social Worker based in Savannah, GA and is specialized in Clinical. Shatara Jackson practices in Savannah, GA and has the professional credentials of LCSW. The NPI Number for Shatara Jackson is 1033660949 and holds a License No. (Georgia).

The current practice location address for Shatara Jackson is 5 Mall Anx, Savannah, GA and can be reached out via phone at 912-495-8887 and via fax at 912-495-8881.

Location: 5 Mall Anx, Savannah, GA, 31404-5213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033660949
Provider Name
Shatara Jackson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
5 Mall Anx, Savannah, GA, 31404-5213
Phone Number
912-495-8887
Fax Number
912-495-8881
Provider Enumeration Date
10/17/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110026265E 05 MA
institution
Provider Business Practice Location Address Details
Address
5 Mall Anx
City
Savannah
State
Georgia
Zip
31406-4738
Phone Number
912-495-8887
Fax Number
912-495-8881
person
Provider Business Mailing Address Details
Address
5 Mall Anx
City
Savannah
State
Georgia
Zip
31406-4738
Phone Number
912-495-8887
Fax Number
912-495-8881
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
15612 (South Carolina)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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