Jennifer Shiiba, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121872 Issued in MA

Practice address

413 Neponset Ave 1St Floor
Boston, MA 02122-3184

Phone

(617) 297-8823

NPI assigned

Aug 13, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1386255222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PLEASANT ST # 239",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 NEPONSET AVE 1ST FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021223184",
            "telephone_number": "617-297-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIIBA",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2021-04-05",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny A Shih, MD
• Juliann Shih, MD
• Kirsten Shuo-Huei Shih, M.A
• Ludy Shih, MD
• Vivian E Shih, MD
• Hasanain Shikari, M.D., D.N.B.
• Justine Shikowitz
• Dmitry Shiktorov
• Chaitanya Shilagani, M.D.
• Dacia Shillingford-Compas

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.