Shannon Michelson
NPI 1114051679 · Clinical Social Worker · San Jose, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Michelson is a Clinical Social Worker provider in San Jose, CA (NPI 1114051679).
Provider details
- NPI number
- 1114051679
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LCS21247 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2022-01-03
Frequently asked questions
- What is Shannon Michelson's NPI number?
- Shannon Michelson's National Provider Identifier (NPI) is 1114051679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Michelson's specialty?
- Shannon Michelson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Michelson located?
- Shannon Michelson's practice location on file with NPPES is 5755 Cottle Rd, San Jose, CA 95123-3640.
- What is Shannon Michelson's phone number?
- The practice phone number listed in the NPPES registry for Shannon Michelson is (408) 972-3419.
- Does Shannon Michelson accept Medicare?
- Shannon Michelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Michelson's NPI active?
- Yes — Shannon Michelson's NPI (1114051679) is active in the NPPES registry as of the last update on 2022-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.