Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shamara Gibson, LCSW

Individual provider Clinical Social Worker · NPI 1598140733

Shamara Gibson, LCSW is a Clinical Social Worker in Jacksonville, Florida. Qualified in 2011, 15 years ago. Practices with Maras Lighthouse Counseling Center LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

921 N Davis St Bldg B Ste 315
Jacksonville, FL 32209-6804
Phone: (904) 359-3857
Fax: (904) 359-2503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW12874 (FL)

Record details

NPI number1598140733
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 29, 2015
Last updated in NPPESJuly 29, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Maras Lighthouse Counseling Center Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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