Active NPIIndividual provider

Nathaniel A Shirley, LICSW

Social Worker, Clinical in East Boston, Massachusetts

NPI Number1356087829
Practice location
10 Gove St, East Boston, MA 02128-1920
Fax
617-568-4756
Last updated
June 14, 2022

Nathaniel August Shirley is a Social Worker, Clinical based in East Boston, MA. Nathaniel August Shirley practices in East Boston, MA and has the professional credentials of LICSW. The NPI Number for Nathaniel August Shirley is 1356087829 and holds a License No. 225478 (MA). The current practice location address for Nathaniel August Shirley is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-569-5800 and via fax at 617-568-4756.

Provider Profile Details

NPI Number
1356087829
Provider Name
Nathaniel August Shirley
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
10 Gove St, East Boston, MA 02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4756
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 9, 2022
Last Update Date
June 14, 2022
Certification Date
June 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gove St
East Boston, MA 02128-1920
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4756
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4756

License Information

License Number (1)
225478
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
125100
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nathaniel A Shirley, LICSW?

The NPI number of Nathaniel A Shirley, LICSW is 1356087829. It was assigned on May 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Nathaniel A Shirley, LICSW?

Nathaniel A Shirley, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 225478.

Where does Nathaniel A Shirley, LICSW practice?

The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-569-5800 (phone) or 617-568-4756 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356087829 directly on the NPPES registry website.

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