Shirley Jackson, LICSW
NPI 1407947484 · Mental Health Counselor · West Roxbury, MA
Shirley Jackson, LICSW is a Mental Health Counselor provider in West Roxbury, MA (NPI 1407947484).
Provider details
- NPI number
- 1407947484
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 1016612 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shirley Jackson's NPI number?
- Shirley Jackson's National Provider Identifier (NPI) is 1407947484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shirley Jackson's specialty?
- Shirley Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Shirley Jackson located?
- Shirley Jackson's practice location on file with NPPES is 1400 Vfw Pkwy, West Roxbury, MA 02132-4927.
- What is Shirley Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shirley Jackson is (617) 323-7700.
- Is Shirley Jackson's NPI active?
- Yes — Shirley Jackson's NPI (1407947484) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.