Shawnneice Beth Brock, MSW, LICSW, PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0581C Issued in AL

Practice address

Sparks Center 1720 7TH Avenue South- 9TH Floor
Birmingham, AL 35294-0017

Phone

(205) 934-5201

Fax

(205) 975-4879

NPI assigned

Jan 2, 2019

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

Other names 1

• Shawn Brock Other name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1851864821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SPARKS CENTER 1720 7TH AVENUE SOUTH- 9TH FLOOR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940017",
            "telephone_number": "205-934-5201",
            "fax_number": "205-975-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPARKS CENTER 1720 7TH AVENUE SOUTH- 9TH FLOOR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940017",
            "telephone_number": "205-934-5201",
            "fax_number": "205-975-4879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uab Center For Psychiatric Medicine 1713 6th Ave South",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352940001",
            "country_code": "US",
            "telephone_number": "205-937-5788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "SHAWNNEICE",
        "middle_name": "BETH",
        "credential": "MSW, LICSW, PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0581C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "BROCK",
            "credential": "MSW. LICSW, PIP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian Emanuel Brocato, D.O.
• Renee Brochier
• Michael Alan Brock, MD
• Paula Freeburg Brock, CRNA
• Robert I Brock, MD
• Jared Scott Brockington, D.O.
• Jennifer Riedel Brockington, D.O.
• Amy E Brockway
• Sarah G Brockway
• Leah Ann Brodbeck, PSYD

• Clinical Social Worker in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.