P Praxis·MD
● Active Type 1 · Individual

Shatara Jackson, LCSW

Social Worker·Savannah, GA· NPI 1033660949 · Enumerated 2016 · 9 years on NPI
Jackson is 1 of 196 social worker providers in Savannah and 1 of 5654 in Georgia.
NPI age
9 years
Enumerated 2016-10-17
Primary specialty
Social Worker
Plus 5 subspecialties
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-04-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5654 active social worker providers in Georgia.

NPI age
9 years
≈ at median (9 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
4
In the 19% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-10Enumerated in NPPES
2016 2026

Where they practice

Practice location
5 Mall Anx
Savannah, GA 314064738
📞 9124958887fax 9124958881
Mailing address
50 S Parkwood Dr
Savannah, GA 314045213
📞 9125070326

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
6711 Forest Park Dr
Savannah, GA 314062507
📞 9124298452
Location 3
50 S Parkwood Dr
Savannah, GA 314045213
📞 9125070326

Specialties

  • Social Worker Primary
    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...
    GA license #CSW008276SC license #15612 taxonomy 1041C0700X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X
  • Clinic/Center
    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...
    taxonomy 261QM0855X
  • Counselor
    Definition to come...
    taxonomy 101YA0400X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X

Identifiers

TypeValueNotes
05 (MA) 110026265E
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new social worker providers have been added in Savannah in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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