IndividualActive
Jennifer Shiiba, LICSW
NPI 1386255222 · Clinical Social Worker · Boston, MA
Provider details
- NPI number
- 1386255222
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 121872 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
413 Neponset Ave 1st Floor
Boston, MA 02122-3184
Phone: (617) 297-8823
Street-level locationGet directions
Mailing address
51 Pleasant St # 239
Malden, MA 02148-4904
Registry dates
- Enumerated
- 2020-08-13
- Last updated
- 2021-04-05
- Certified
- 2021-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.