Micheal Shaughnessy, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120340 Issued in MA

Practice address

63 Main St
Brockton, MA 02301-4042

Phone

(508) 559-6699

NPI assigned

Apr 10, 2017

Sex

Male

Sole proprietor

Yes

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.

• Brockton Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Brockton, MA
  • NPI 1225085319
  Medicare reassignment Care Compare group NPD MA
• Healthfirst Family Care Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Fall River, MA
  • NPI 1962435933
  Medicare reassignment Care Compare group NPD MA
• Brockton Neighborhood Health Center, Inc.

  • Community/Retail Pharmacy
  • Brockton, MA
  • NPI 1528704061
  Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2025.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1629501366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014042",
            "telephone_number": "508-559-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014042",
            "telephone_number": "508-559-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUGHNESSY",
        "first_name": "MICHEAL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lewis Shapiro
• Mahmood H Sharfi, MD
• Jennifer Lynn Sharkansky, LICSW
• Cherilyn Virginia Sharland
• Daniel Shassian, PSYD
• Daniel Shaw
• Erin Shaw
• Meredith Anne Shaw, PH.D.
• Molly Shaw, PA-C
• Ryan T Shaw

• All providers in Brockton, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.