Shannon Elliott, LICSW
NPI 1063580884ActiveIndividual· Social Worker, Clinical· Plymouth, MA
Social Worker, Clinical (LICSW) in Plymouth, Massachusetts, licensed in MA, with an NPI issued in December 2006. Medicare paid $22,231 for services to 16 patients in 2024.
Overview
| NPI | 1063580884 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Dec 1, 2006 |
| Last updated in NPPES | Jan 4, 2023 |
| Certified by provider | Jan 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 111708 | MA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 2027086 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 272 across 4 procedure codes |
| Paid by Medicare | $22,231 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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All 156 clinical social workers in Plymouth · All clinical social workers in Massachusetts