KERRY ANN SHAUGHNESSY LICSW
NPI 1740826593
Social Worker - Clinical in Tacoma, WA

Q: What is Kerry Shaughnessy's NPI number?

The NPI number for Kerry Shaughnessy is 1740826593. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Q: What is Kerry Shaughnessy'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 Kerry Shaughnessy was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 26, 2019PECOS Enrolled

6424 N 9TH ST, TACOMA, WA 98406(253) 565-4484(253) 565-5823 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 3, 2021, Jul 24, 2020, Apr 20, 2020 and 2 more (5 updates tracked since 2019).

On this page

About Kerry Ann Shaughnessy Licsw NPPES

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

KERRY ANN SHAUGHNESSY LICSW (NPI 1740826593) is an individual clinical provider in Tacoma, Washington, licensed in Washington (60599869) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740826593

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKERRY ANN SHAUGHNESSYCredential: LICSW

Location Address6424 N 9TH STTacoma, WA 98406-2091

Mailing Address6424 N 9th StTacoma, WA 98406-2091 · (253) 565-4484 · Fax (253) 565-5823

Phone(253) 565-4484

Fax(253) 565-5823

Sole ProprietorNo

Enumeration DateNovember 26, 2019

Last NPPES UpdateDecember 3, 20215 updates tracked since enumeration

NPPES CertifiedDecember 3, 2021

✔ NPI 1740826593 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 WA · 60599869

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.

6424 N 9TH ST, Tacoma, WA 98406

Open in Google Maps ↗

Other Identifiers 1

Other60599869WA · Social Worker Independent Clinical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Kerry Ann Shaughnessy Licsw 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 98406 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 $57.27 – $172.80

Typical copayment $0.00 (range $14.31 – $43.20)

Most-billed visit code NA

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

MAREN TELSEY LMHC

Counselor (Mental Health)