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SHATAMRA JACKSON MSW
NPI 1255929253
Social Worker - Clinical in Charlotte, NC

Active since January 05, 2021PECOS Enrolled
5200 PARK RD, CHARLOTTE, NC 28209(270) 535-5882 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2021, Jan 5, 2021 (2 updates tracked since 2021).

About Shatamra Jackson Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHATAMRA JACKSON MSW (NPI 1255929253) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P015378) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255929253
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHATAMRA JACKSONCredential: MSW
Location Address5200 PARK RDCharlotte, NC 28209-3650
Mailing Address5200 Park Rd Ste 218-bCharlotte, NC 28209-3650 · (270) 535-5824 · Fax (866) 338-5921
Phone(270) 535-5882
Sole ProprietorNo
Enumeration DateJanuary 5, 2021
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1255929253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P015378
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.
5200 PARK RD, Charlotte, NC 28209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shatamra Jackson Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATHWAYS TO GROWTH COUNSELING, PLLC
Clinic/Center (Adolescent and Children Mental Health)
5200 PARK RD, SUITE 236
CHARLOTTE, NC 28209
Mecklenburg County (704) 352-2111
CONECTANDO FAMILIAS SDG, INC.
Social Worker (Clinical)
5200 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 526-6072
CHARLOTTE COUNSELING GROUP
Counselor
5200 PARK RD, SUIT 111
CHARLOTTE, NC 28209
Mecklenburg County (704) 787-6869
TOTAL TOUCH CHIROPRACTIC WELLNESS CENTER PA
Chiropractor
5200 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 350-9990
MS. COLLEEN LYNN COMPEL D.C.
Chiropractor
5200 PARK RD, SUITE 207-E
CHARLOTTE, NC 28209
Mecklenburg County (539) 302-4476
BURKHOLDER WELLNESS, PLLC
Clinic/Center (Health Service)
5200 PARK RD, SUITE 207-D
CHARLOTTE, NC 28209
Mecklenburg County (704) 287-5454
NURSING BIZ, LLC
Home Health
5200 PARK RD, SUITE 131
CHARLOTTE, NC 28209
Mecklenburg County (704) 525-3500
MARION DENISE KUPPINGER M.S.
Counselor (Professional)
5200 PARK RD, SUITE 119
CHARLOTTE, NC 28209
Mecklenburg County (704) 527-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shatamra Jackson's NPI number?

The NPI number for Shatamra Jackson is 1255929253. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Shatamra Jackson located?

Shatamra Jackson practices at 5200 Park Rd, Charlotte, NC 28209. The listed phone number is (270) 535-5882.

What is Shatamra Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shatamra Jackson enrolled in Medicare?

Yes. Shatamra Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Shatamra Jackson accept?

Health plans from Blue Cross and Blue Shield of NC list Shatamra Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shatamra Jackson was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.