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MRS. SHIRLEY JACKSON SOCIAL SERVICE WORK
NPI 1396926499
Counselor - Mental Health in Riverside, CA

Active since November 16, 2007
3625 14TH ST, RIVERSIDE, CA 92501(951) 955-1582(951) 955-1610 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shirley Jackson Social Service Work NPPES

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

MRS. SHIRLEY JACKSON SOCIAL SERVICE WORK (NPI 1396926499) is an individual mental health provider in Riverside, California and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1396926499
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SHIRLEY JACKSONCredential: SOCIAL SERVICE WORK
Location Address3625 14TH STRiverside, CA 92501-3815
Mailing AddressPo Box 1405Riverside, CA 92502-1405 · (951) 341-6440
Phone(951) 955-1582
Fax(951) 955-1610
Sole ProprietorNo
Enumeration DateNovember 16, 2007
Last NPPES UpdateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1396926499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3625 14TH ST, Riverside, CA 92501
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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.

BEATRIZ GARCIA
Counselor (Mental Health)
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-1540
MS. JOZELLA MARIE FRENCH LMFT #121025
Rehabilitation Practitioner
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-2066
MARY ELIZABETH REYNARD AS, AA, BA
Rehabilitation Practitioner
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-5140
SONIA SANCHEZ
Rehabilitation Practitioner
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-2568
DEBORAH JEAN JOHNSON
Social Worker (Clinical)
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-1503
CRYSTAL COLVIN
Counselor (Mental Health)
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-1560
LETTY HERRERA
Rehabilitation Practitioner
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-1540
DENA RACQUEL WASHINGTON
Licensed Vocational Nurse
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 390-8838

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 Shirley Jackson's NPI number?

The NPI number for Shirley Jackson is 1396926499. It was assigned to this individual provider in the NPPES registry on November 16, 2007.

Where is Shirley Jackson located?

Shirley Jackson practices at 3625 14th St, Riverside, CA 92501. The listed phone number is (951) 955-1582.

What is Shirley Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shirley Jackson was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.