Maia C McCoy, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61516648 Issued in WA

Practice address

11208 Parkhill PL NE
Bainbridge Island, WA 98110-1323

Phone

(401) 349-1371

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shift PLLC

  • Clinical Social Worker
  • Bainbridge Island, WA
  • NPI 1750207593
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1285203182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10355 NE VALLEY RD UNIT 4466",
            "city": "ROLLINGBAY",
            "state": "WA",
            "postal_code": "980610019",
            "telephone_number": "401-349-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11208 PARKHILL PL NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101323",
            "telephone_number": "401-349-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MAIA",
        "middle_name": "C",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61516648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Matteson, LMP
• Serena B Matthews, OTR
• Matthew Mayer, D.M.D.
• Ronan Benjamin McCafferty
• Ilana McCall, LMT
• Andrea Sweetman McDuffie, MA, PHD
• Macall McFall, DPT
• Vita McFarland, MA
• Christine McGuire, R. PH.
• James Edwin McKeever, PH.D.

• Clinical Social Worker in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.