SHANNON ELLIOTT (LICSW) – Clinical Social Worker, NPI 1063580884

SHANNON ELLIOTT (LICSW) is a healthcare provider. based in Plymouth, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 2027086 (MA). The NPI Number for SHANNON ELLIOTT (LICSW) is 1063580884

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON ELLIOTT (LICSW)
NPI
1063580884
Phone
(508) 863-0912
Address
310 COURT ST STE 103
Enumeration Date
1 December 2006
Last Update Date
4 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088630912
Graduation Year
1995 (31 years ago)
PAC ID
9133121171
Professional Enrollment ID
I20070205000446
Address ID
MA023641275KI161XXSTXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for SHANNON ELLIOTT (LICSW)

  • 310 COURT ST STE 103

    PLYMOUTH, MA 023604372

    Phone: (508) 863-0912

    Type: Location

  • 200, Ter Heun Drive, Falmouth, Barnstable County, Massachusetts, 02540, United States

    FALMOUTH, MA 025402525

    Phone: (508) 540-6550

    Fax: (508) 540-7480

    Type: Location

  • 54, Dickson Drive, Plymouth, Plymouth County, Massachusetts, 02560, United States

    PLYMOUTH, MA 023606831

    Phone: (508) 863-0912

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070205000446IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour21615$0
View full utilization report →

Insurance plans in this area (ZIP 02360)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for SHANNON ELLIOTT (LICSW)?
Save NPI 1063580884 if you need a stable reference for SHANNON ELLIOTT (LICSW).
Does this profile mean SHANNON ELLIOTT (LICSW) is currently active?
Yes — SHANNON ELLIOTT (LICSW) appears active in the national provider directory.
Does SHANNON ELLIOTT (LICSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for SHANNON ELLIOTT (LICSW). Clinical services aligned with this taxonomy classification.
Where is SHANNON ELLIOTT (LICSW)'s primary listing?
We display Plymouth, Massachusetts because that is what the record indicates for SHANNON ELLIOTT (LICSW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

SEAN WHIPPLE WITHINGTON (L.I.C.S.W.)

Addiction (Substance Use Disorder) Counselor
1, Massasoit Street, Bradford-Union Street Historic District, Plymouth, Plymouth County, Massachusetts, 02360, United States
NPI: 1134118201
64, Industrial Park Road, Plymouth Mobile Estates, Plymouth, Plymouth County, Massachusetts, 02360-7310, United States
NPI: 1649254954

MS. ELLEN M. BARRESI (MSW, LICSW)

Clinical Social Worker
362, Court Street, Cordage, Plymouth, Plymouth County, Massachusetts, 02360-7310, United States
NPI: 1508844705

MS. KAREN E TRAIS (LICSW)

Clinical Social Worker
1, Water Street, Old Shipbuilders Historic District, South Duxbury, Duxbury, Plymouth County, Massachusetts, 02332, United States
NPI: 1881665578
88, John Alden Road, Priscilla Beach, Plymouth, Plymouth County, Massachusetts, United States
NPI: 1114986189

MRS. MARY LOU SHEWCHUK (LICSW)

Clinical Social Worker
8, Orchard Way, Farmersville, Sandwich, Barnstable County, Massachusetts, 02644, United States
NPI: 1942251103

MRS. KRISTIN HALLETT (LICSW)

Clinical Social Worker
128 WATERCOURSE PL
NPI: 1184675753

Unknown Individual

Clinical Social Worker
37, Mayflower Street, Bradford-Union Street Historic District, Plymouth, Plymouth County, Massachusetts, 02360, United States
NPI: 1740211754
323, Court Street, Brockton, Plymouth County, Massachusetts, 02303, United States
NPI: 1982629929