SHANNON BARBARA MICHELSON
NPI 1114051679
Social Worker - Clinical in San Jose, CA

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
5755 COTTLE RD, SAN JOSE, CA 95123(408) 972-3419 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Barbara Michelson NPPES

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

SHANNON BARBARA MICHELSON (NPI 1114051679) is an individual clinical provider in San Jose, California, licensed in California (LCS21247) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114051679
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON BARBARA MICHELSON
Location Address5755 COTTLE RDSan Jose, CA 95123-3640
Mailing AddressPo Box 5956San Jose, CA 95150-5956 · (408) 972-3419
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 15, 2007
Last NPPES UpdateJanuary 3, 2022
NPI 1114051679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCS21247
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.

5755 COTTLE RD, San Jose, CA 95123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Barbara Michelson 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 ID8224359484
PECOS Enrollment IDI20150601000810
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95123 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 $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 20

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

Psychologist (Clinical)
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Medical Genetics (Clinical Cytogenetics)
5755 COTTLE RD, BUILDING 2 GENETICS
SAN JOSE, CA 95123
Psychologist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Marriage & Family Therapist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Counselor (Mental Health)
5755 COTTLE RD
SAN JOSE, CA 95123
Psychologist (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Genetic Counselor, MS
5755 COTTLE RD, BUILDING 1
SAN JOSE, CA 95123
Genetic Counselor, MS
5755 COTTLE RD, BLDG #1
SAN JOSE, CA 95123

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 Michelson's NPI number?

The NPI number for Shannon Michelson is 1114051679. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Shannon Michelson located?

Shannon Michelson practices at 5755 Cottle Rd, San Jose, CA 95123. The listed phone number is (408) 972-3419.

What is Shannon Michelson's specialty?

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

Is Shannon Michelson enrolled in Medicare?

Yes. Shannon Michelson 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.

When was this NPI record last updated?

The NPPES record for Shannon Michelson was last updated on January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.