Shannon Michelson LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Legal business name

SHANNON MICHELSON LCSW

Doing business as

Shannon Barbara Michelson

Practice address

10301 Alpine Dr Apt 6
Cupertino, CA 95014-0926

Phone

(408) 337-0466

NPI assigned

Jun 20, 2022

Organization subpart

No

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

Authorized official

Name

Shannon Barbara Michelson, LCSWNPI 1114051679

Title

Mental Health Therapist

Phone

(408) 644-3627

Specialties & licenses 1

Addresses

Other names 1

• SHANNON BARBARA MICHELSON Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Barbara Michelson

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1114051679
  NPD Authorized official

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1326779505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5956",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951505956",
            "telephone_number": "408-337-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 ALPINE DR APT 6",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950140926",
            "telephone_number": "408-337-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON MICHELSON LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "MICHELSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "408-644-3627",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHANNON BARBARA MICHELSON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lidia Seroussi, OTR/L
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• Bethanie Sheaffer, LEP, PPS
• Matt J Sheehy, D.C.
• Mercedes Shelley
• Shen DDS Dental Corp.

• School Social Worker in Cupertino, CA
• Providers in Cupertino, CA by specialty
• School Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.