Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miriam Beth Shabazz, LICSW

Individual provider Clinical Social Worker · NPI 1902399090

Miriam Beth Shabazz, LICSW is a Clinical Social Worker in Jamaica Plain, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Phone: (857) 364-6311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 000121255 (MA)

Record details

NPI number1902399090
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 13, 2018
Last updated in NPPESJune 13, 2018

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