Michael Shock, LICSW
NPI 1659404556ActiveIndividual· Social Worker, Clinical· Devils Lake, ND
Social Worker, Clinical (LICSW) with Lake Region Human Service Center, practicing in Devils Lake, North Dakota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1659404556 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Mar 13, 2007 |
| Last updated in NPPES | Oct 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 4694 | ND |
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 (ND) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Lake Region Human Service CenterDevils Lake, ND · 15 clinicians
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All 18 clinical social workers in Devils Lake · All clinical social workers in North Dakota