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MISS SUSAN SHOPODOCK CLINICAL SOCIAL WORK
NPI 1225743230
Social Worker - Clinical in Manitowoc, WI

Active since January 16, 2023PECOS EnrolledAccepts Medicare Assignment
816 WASHINGTON ST, MANITOWOC, WI 54220(920) 645-3743 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jul 8, 2024, Jun 25, 2024 and 3 more (6 updates tracked since 2023).

About Miss Susan Shopodock Clinical Social Work NPPES

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

MISS SUSAN SHOPODOCK CLINICAL SOCIAL WORK (NPI 1225743230) is an individual clinical provider in Manitowoc, Wisconsin, licensed in Wisconsin (11553-123) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225743230
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS SUSAN SHOPODOCKCredential: CLINICAL SOCIAL WORK
Location Address816 WASHINGTON STManitowoc, WI 54220-4537
Mailing Address816 Washington StManitowoc, WI 54220-4537 · (920) 652-6065
Phone(920) 645-3743
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 16, 2023
Last NPPES UpdateJuly 24, 20246 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1225743230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 11553-123
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 19773 (WI)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X · License 11553-123
816 WASHINGTON ST, Manitowoc, WI 54220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Medica, UnitedHealthcare.Insurance ›

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

Miss Susan Shopodock Clinical Social Work 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 ID2860929379
PECOS Enrollment IDI20241223001300
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 54220 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 4

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

NICOLE BONIN MSW, LCSW
Social Worker (Clinical)
816 WASHINGTON ST
MANITOWOC, WI 54220
Manitowoc County (920) 645-3743
REBECCA A RICHARDS LPC
Counselor (Professional)
816 WASHINGTON ST
MANITOWOC, WI 54220
Manitowoc County (920) 645-3743
SUMMIT CLINICAL SERVICES LLC
Counselor (Mental Health)
816 WASHINGTON ST
MANITOWOC, WI 54220
Manitowoc County (262) 719-5177
MRS. ALLISON KRCMA LCSW
Social Worker (Clinical)
816 WASHINGTON ST
MANITOWOC, WI 54220
Manitowoc County (920) 645-3743

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 Susan Shopodock's NPI number?

The NPI number for Susan Shopodock is 1225743230. It was assigned to this individual provider in the NPPES registry on January 16, 2023.

Where is Susan Shopodock located?

Susan Shopodock practices at 816 Washington St, Manitowoc, WI 54220. The listed phone number is (920) 645-3743.

What is Susan Shopodock's specialty?

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

Is Susan Shopodock enrolled in Medicare?

Yes. Susan Shopodock 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.

What insurance does Susan Shopodock accept?

Health plans from Blue Cross and Blue Shield of Texas, Medica and UnitedHealthcare list Susan Shopodock 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 Susan Shopodock was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.