MICHEAL SHAUGHNESSY LICSW
NPI 1629501366
Social Worker - Clinical in Brockton, MA
About Micheal Shaughnessy Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHEAL SHAUGHNESSY LICSW (NPI 1629501366) is an individual clinical provider in Brockton, Massachusetts, licensed in Massachusetts (120340) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Micheal Shaughnessy Licsw 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BROCKTON, MA 02301
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 Micheal Shaughnessy's NPI number?
The NPI number for Micheal Shaughnessy is 1629501366. It was assigned to this individual provider in the NPPES registry on April 10, 2017.
Where is Micheal Shaughnessy located?
Micheal Shaughnessy practices at 63 Main St, Brockton, MA 02301. The listed phone number is (508) 559-6699.
What is Micheal Shaughnessy's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Micheal Shaughnessy enrolled in Medicare?
Yes. Micheal Shaughnessy 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 Micheal Shaughnessy accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Micheal Shaughnessy 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 Micheal Shaughnessy was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Micheal Shaughnessy, LICSW · NPI 1629501366
Clinical provider in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since April 10, 2017.
## Identity
- **NPI:** 1629501366 (Entity type: Individual)
- **Enumerated:** April 10, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 120340 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 63 MAIN ST, Brockton, MA 02301-4042
- **Phone:** (508) 559-6699
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629501366) · Data from the CMS NPPES public registry.