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MRS. SHANNON A PEREZ MSW, LCSW, LCAS-A
NPI 1083232631
Social Worker - Clinical in Southport, NC

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment
8128 RIVER RD SE, SOUTHPORT, NC 28461(910) 367-5036(910) 477-9030 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2023, Dec 2, 2021, Jul 9, 2020 (3 updates tracked since 2020).

About Mrs. Shannon A Perez Msw, Lcsw, Lcas-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON A PEREZ MSW, LCSW, LCAS-A (NPI 1083232631) is an individual clinical provider in Southport, North Carolina, licensed in North Carolina (C014152) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083232631
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHANNON A PEREZCredential: MSW, LCSW, LCAS-A
Location Address8128 RIVER RD SESouthport, NC 28461-8972
Mailing Address70 High Point RdSouthport, NC 28461-9757 · (910) 599-0993
Phone(910) 367-5036
Fax(910) 477-9030
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 9, 2020
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1083232631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C014152✔ Licensed in NC · P013774
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 25841 (NC)
8128 RIVER RD SE, Southport, NC 28461
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shannon A Perez Msw, Lcsw, Lcas-a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507254018
PECOS Enrollment IDI20211102000812
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Expressions Counseling PLLC
Same address
Community/Behavioral Health
8128 RIVER RD SE
Southport, NC 28461
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1134894850 (910) 367-5036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLYN DUNN
Counselor (Mental Health)
8128 RIVER RD SE
SOUTHPORT, NC 28461
Brunswick County (910) 367-5036
MINDFUL EXPRESSIONS COUNSELING PLLC
Community/Behavioral Health
8128 RIVER RD SE
SOUTHPORT, NC 28461
Brunswick County (910) 367-5036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Perez's NPI number?

The NPI number for Shannon Perez is 1083232631. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Shannon Perez located?

Shannon Perez practices at 8128 River Rd SE, Southport, NC 28461. The listed phone number is (910) 367-5036.

What is Shannon Perez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shannon Perez enrolled in Medicare?

Yes. Shannon Perez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shannon Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Perez reassigns Medicare benefits to Mindful Expressions Counseling PLLC (Southport, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Perez accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Shannon Perez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Perez was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.