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

Individual provider Clinical Social Worker · NPI 1356087829

Nathaniel August Shirley, LICSW is a Clinical Social Worker in East Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022
Specialties on file
2
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

10 Gove St
East Boston, MA 02128-1920
Phone: (617) 569-5800
Fax: (617) 568-4756
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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 125100 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 225478 (MA)

Record details

NPI number1356087829
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 9, 2022
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

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