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

MS. Shirley A Jackson, LICSW

Individual provider Mental Health Counselor · NPI 1407947484

MS. Shirley A Jackson, LICSW is a Mental Health Counselor in West Roxbury, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
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

1400 Vfw Pkwy
West Roxbury, MA 02132-4927
Phone: (617) 323-7700
Fax: (857) 203-5553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 1016612 (MA)

Record details

NPI number1407947484
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 8, 2007

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