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

Sharon M Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1851462097

Sharon M Jackson, LCSW is a Clinical Social Worker in Sullivan, Missouri. Qualified in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
30
Licensed in
MO
In the registry since
2006
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

965 Mattox Dr
Sullivan, MO 63080-2365
Phone: (673) 860-6000
Fax: (573) 860-6016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 005642 (MO)

Record details

NPI number1851462097
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESApril 11, 2017
Mailing address670 Mason Ridge Center Dr, Ste. 300, Saint Louis, MO 63141-8573

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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