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

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: October 25, 2026.

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

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
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Other Identifiers 1

Other60599869WA · Social Worker Independent Clinical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kerry Shaughnessy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Puyallup Tribal Health Authority
6.0 mi
Primary Care
2209 E 32ND ST
Tacoma, WA 98404
  • Reassigned Medicare billing, Washington enrollment
  • 55 clinicians in this Medicare group
NPI 1063455665 (253) 593-0232

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
6424 N 9TH ST
TACOMA, WA 98406
Pierce County (253) 565-4484
JESSICA SPLINTER
Counselor
6424 N 9TH ST
TACOMA, WA 98406
Pierce County (253) 565-4484
JENNIFER ANN BLOOM LMHCA
Counselor
6424 N 9TH ST
TACOMA, WA 98406
Pierce County (253) 565-4484
DR. GINA MARIE PRETZER SLP
Speech-Language Pathologist
6424 N 9TH ST
TACOMA, WA 98406
Pierce County (253) 565-4484
HANNAH LEIGH BOWLEY
Speech-Language Pathologist
6424 N 9TH ST
TACOMA, WA 98406
Pierce County (253) 565-4484
JAMIE MELSNESS
Counselor (Mental Health)
6424 N 9TH ST
TACOMA, WA 98406
Pierce County (253) 565-4484
MRS. TAMMY LYNN BADGER MA, RC
Counselor (Mental Health)
6424 N 9TH ST
TACOMA, WA 98406
Pierce County (253) 565-4484
BETSY MOORE
Counselor (Mental Health)
6424 N 9TH ST
TACOMA, WA 98406
Pierce County (253) 565-4484

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 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.

Where is Kerry Shaughnessy located?

Kerry Shaughnessy practices at 6424 N 9th St, Tacoma, WA 98406. The listed phone number is (253) 565-4484.

What is Kerry Shaughnessy's specialty?

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

Is Kerry Shaughnessy enrolled in Medicare?

Yes. Kerry Shaughnessy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kerry Shaughnessy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Shaughnessy reassigns Medicare benefits to Puyallup Tribal Health Authority (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerry Shaughnessy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerry Shaughnessy accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Kerry 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 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.