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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033660949

Shatara Jackson, LCSW is an Addiction (Substance Use Disorder) Counselor in Savannah, Georgia. Practices as a sole proprietor and works from 3 locations. Licensed in Georgia and South Carolina.

Licensed in
GA, SC
In the registry since
2016
Specialties on file
6
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

5 Mall Anx
Savannah, GA 31406-4738
Phone: (912) 495-8887
Fax: (912) 495-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 50 S Parkwood Dr, Savannah, GA 31404-5213 — (912) 507-0326
  • 6711 Forest Park Dr, Savannah, GA 31406-2507 — (912) 429-8452

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW008276 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence 15612 (SC)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1033660949
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 17, 2016
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

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