MS. SHIRLEY A JACKSON LICSW
NPI 1407947484
Counselor - Mental Health in West Roxbury, MA

Active since September 27, 2006
1400 VFW PKWY, WEST ROXBURY, MA 02132(617) 323-7700(857) 203-5553 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Shirley A Jackson Licsw NPPES

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

MS. SHIRLEY A JACKSON LICSW (NPI 1407947484) is an individual mental health provider in West Roxbury, Massachusetts, licensed in Massachusetts (1016612) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1407947484
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SHIRLEY A JACKSONCredential: LICSW
Location Address1400 VFW PKWYWest Roxbury, MA 02132-4927
Mailing Address528 Plymouth StMiddleboro, MA 02346-2531 · (508) 947-0468
Fax(857) 203-5553
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1407947484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MA · 1016612
1400 VFW PKWY, West Roxbury, MA 02132

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.

Occupational Therapist
1400 VFW PKWY
WEST ROXBURY, MA 02132
Physician Assistant (Surgical)
1400 VFW PKWY
WEST ROXBURY, MA 02132
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1400 VFW PKWY
WEST ROXBURY, MA 02132
Internal Medicine (Infectious Disease)
1400 VFW PKWY
WEST ROXBURY, MA 02132
Internal Medicine (Pulmonary Disease)
1400 VFW PKWY
WEST ROXBURY, MA 02132
Physician Assistant (Surgical)
1400 VFW PKWY
WEST ROXBURY, MA 02132
Occupational Therapist
1400 VFW PKWY
WEST ROXBURY, MA 02132
Nurse Practitioner (Acute Care)
1400 VFW PKWY
WEST ROXBURY, MA 02132

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 1407947484. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Shirley Jackson located?

Shirley Jackson practices at 1400 Vfw Pkwy, West Roxbury, MA 02132. The listed phone number is (617) 323-7700.

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 July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.