1. Home
  2. Directory
  3. Michigan
  4. Coldwater
  5. Social Worker
  6. NPI Profile

MR. SHANE SPEAKER LMSW
NPI 1164995684
Social Worker - Clinical in Coldwater, MI

Active since January 08, 2019PECOS EnrolledAccepts Medicare Assignment
200 VISTA DR, COLDWATER, MI 49036(517) 278-2129 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shane Speaker Lmsw NPPES

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

MR. SHANE SPEAKER LMSW (NPI 1164995684) is an individual clinical provider in Coldwater, Michigan, licensed in Michigan (6801094324) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164995684
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SHANE SPEAKERCredential: LMSW
Location Address200 VISTA DRColdwater, MI 49036-1776
Mailing Address200 Vista DrColdwater, MI 49036-1776 · (517) 278-2129
Phone(517) 278-2129
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 8, 2019
✔ NPI 1164995684 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
License✔ Licensed in MI · 6801094324
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
200 VISTA DR, Coldwater, MI 49036
Open in Google Maps ↗

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

Mr. Shane Speaker Lmsw 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 ID1153668413
PECOS Enrollment IDI20190124000144
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 49036 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

TAMMY SPAULDING
Case Manager/Care Coordinator
200 VISTA DR
COLDWATER, MI 49036
Branch County (517) 278-2129
YOLANDA MARIE LOZANO
Case Manager/Care Coordinator
200 VISTA DR
COLDWATER, MI 49036
Branch County (517) 278-2129
KATILYN BRIGHTON
Licensed Practical Nurse
200 VISTA DR
COLDWATER, MI 49036
Branch County (517) 278-2129
AMBER MARIE MARTINEZ
Case Manager/Care Coordinator
200 VISTA DR
COLDWATER, MI 49036
Branch County (517) 278-2129
KAYLA EMELY ROBERTS
Social Worker (Clinical)
200 VISTA DR
COLDWATER, MI 49036
Branch County (517) 278-2129
KELLY CORUM
Social Worker
200 VISTA DR
COLDWATER, MI 49036
Branch County (517) 278-2129
MRS. JULIE JANINE THARP PTA
Physical Therapy Assistant
200 VISTA DR
COLDWATER, MI 49036
Branch County (517) 278-5933
VANESSA MARIE CRANDALL LMSW
Social Worker (Clinical)
200 VISTA DR
COLDWATER, MI 49036
Branch County (517) 227-1812

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 Shane Speaker's NPI number?

The NPI number for Shane Speaker is 1164995684. It was assigned to this individual provider in the NPPES registry on January 8, 2019.

Where is Shane Speaker located?

Shane Speaker practices at 200 Vista Dr, Coldwater, MI 49036. The listed phone number is (517) 278-2129.

What is Shane Speaker's specialty?

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

Is Shane Speaker enrolled in Medicare?

Yes. Shane Speaker 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 Shane Speaker was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.