SHANNON L SPICER LMSW, CAADC
NPI 1225545650
Social Worker - Clinical in Jackson, MI

Q: What is Shannon Spicer's NPI number?

The NPI number for Shannon Spicer is 1225545650. It was assigned to this individual provider in the NPPES registry on January 8, 2018. The provider is also known as Shannon L Douglas Lmsw.

Q: What is Shannon Spicer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Spicer was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since January 08, 2018PECOS Enrolled

2424 W WASHINGTON AVE, JACKSON, MI 49203(517) 205-6788 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2025, Jul 17, 2024, Jan 8, 2018 (3 updates tracked since 2018).

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About Shannon L Spicer Lmsw, Caadc NPPES

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

SHANNON L SPICER LMSW, CAADC (NPI 1225545650) is an individual clinical provider in Jackson, Michigan, licensed in Michigan (6801113543) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225545650

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHANNON L SPICERCredential: LMSW, CAADC

Location Address2424 W WASHINGTON AVEJackson, MI 49203-1236

Mailing Address2424 W Washington AveJackson, MI 49203-1236 · (517) 205-6788 · Fax (517) 787-2440

Phone(517) 205-6788

Sole ProprietorNo

Enumeration DateJanuary 8, 2018

Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2025

✔ NPI 1225545650 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 MI · 6801113543

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.

2424 W WASHINGTON AVE, Jackson, MI 49203

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Other Names 1

Former Name (1)Shannon L Douglas Lmsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon L Spicer Lmsw, Caadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 49203 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 8

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

PATRICIA MARIE CARROLL

Counselor (Professional)