MS. SHIRLEY A JACKSON (NPI# 1407947484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407947484 |
| Entity Type | Individual |
| Full Name | MS. SHIRLEY A JACKSON |
| Credential | LICSW |
| Practice Address |
1400 Vfw Pkwy West Roxbury MA 02132-4927 |
| Mailing Address |
528 Plymouth St Middleboro MA 02346-2531 |
| Practice Telephone | 6173237700 |
| Practice Fax Number | 8572035553 |
| Mailing Telephone | 5089470468 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1016612 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| 1538218292 | Shirley Jean Jackson | Registered Nurse | 21 North Atwood Ave, Janesville, WI 53648 | 2007-01-10 |
| 1790343507 | Shirley Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1558806687 | Shirley Jackson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2016-12-28 |
| 1144689936 | Shirley Jackson | Licensed Vocational Nurse | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2016-02-22 |
| 1982943486 | Shirley Jackson | Registered Nurse | 7600 Geogia Ave, Suite 323, Washington, DC 20012 | 2013-02-05 |
| 1396926499 | Shirley Jackson | Counselor | 3625 14th St, Riverside, CA 92501-3815 | 2007-11-16 |
| Street Address |
1400 VFW PKWY |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013903384 | Yesha Patel Barker | Emergency Medicine | 1400 Vfw Pkwy, Emergency Department, West Roxbury, MA 02132-4927 | 2005-09-22 |
| 1588279681 | Samantha Harfenist | Psychologist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-09-15 |
| 1114540341 | Elaine W Mandell | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-05-21 |
| 1154942696 | Crystal Ann Galvin | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-05-06 |
| 1972122943 | Lucia Fan Yang | Student in an Organized Health Care Education/Training Program | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-04-10 |
| 1295364917 | Andrea Moseman | Student in an Organized Health Care Education/Training Program | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-04-04 |
| 1801431010 | Jessica Fougere | Nurse Practitioner | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-11-12 |
| 1427608975 | Megan Nowak | Pharmacist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-09-17 |
| 1457906182 | Kristine Sears | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-08-08 |
| 1972156198 | William Vincent Rivelli | Respiratory Therapist, Registered | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518521954 | Barbara Jean Mccollough | Counselor | 1895 Centre St Ste 201, West Roxbury, MA 02132-1933 | 2019-04-30 |
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1114466174 | Isabel Coll | Counselor | 28 Ridgecrest Ter, Apt 20, West Roxbury, MA 02132-5240 | 2017-02-22 |
| 1700269891 | Laura Coffey Woods | Counselor | 341 Weld St, West Roxbury, MA 02132-1015 | 2015-07-07 |
| 1851714653 | Jmaes M Smith | Counselor | 27 Ridgecrest Ter, Apt 14, West Roxbury, MA 02132-5235 | 2014-01-29 |
| 1659704856 | Nathanaelle Bredina Jeudy | Counselor | 540 Vfw Pkwy Ste 6, West Roxbury, MA 02132-1332 | 2013-08-12 |
| 1649506767 | Megan Graham | Counselor | 4 Cowing St, Apt. 2, West Roxbury, MA 02132-3600 | 2009-10-23 |
| 1558694455 | Georgina Ball | Counselor | 14 Marlin Rd, West Roxbury, MA 02132-1630 | 2009-09-09 |
| 1164755260 | Jennifer Ann Turner | Counselor | 18 Keystone St, West Roxbury, MA 02132-5126 | 2009-09-08 |
| 1700046778 | Rita S Wong | Counselor | 74 Chesbrough Rd, West Roxbury, MA 02132-3812 | 2008-06-13 |
| Find all providers in WEST ROXBURY | ||||
| City | WEST ROXBURY |
| Zip Code | 02132 |
Please comment or provide details below to improve the information on MS. SHIRLEY A JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.