SHUNDA L MCCOY (SOCIAL WORKER) – Clinical Social Worker, NPI 1144368192

SHUNDA L MCCOY (SOCIAL WORKER) is a healthcare provider. based in Brighton, Tennessee. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials SOCIAL WORKER. They hold a License No. LSW0000007767 (TN). The NPI Number for SHUNDA L MCCOY (SOCIAL WORKER) is 1144368192

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHUNDA L MCCOY (SOCIAL WORKER)
NPI
1144368192
Phone
(901) 451-3087
Address
PO BOX 784
Enumeration Date
2 February 2007
Last Update Date
15 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8447272778
Graduation Year
2015 (11 years ago)
PAC ID
2769924224
Group Practice PAC ID
0042115537
Professional Enrollment ID
I20240612000600
Address ID
TN380193630CO1997XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

844 CLINICAL SOCIAL WORKER in TN

Provider Addresses for SHUNDA L MCCOY (SOCIAL WORKER)

  • PO BOX 784

    BRIGHTON, TN 380110784

    Phone: (901) 451-3087

    Type: Mailing

  • 1403 EVERGREEN ST

    COVINGTON, TN 380193201

    Phone: (901) 451-3087

    Type: Location

  • 1997 HIGHWAY 51 S

    COVINGTON, TN 380193630

    Phone: (901) 476-8967

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2024-06-12

PECOS data refreshed: 2026-06-15

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
I20240612000600IClinical Social WorkerTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042115537View full group profile
NameSpecialtyState
-TN
Mental Health CounselorTN
-TN
-TN
Mental Health CounselorTN
P S Y C H I A T R YTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Is there an official ID for SHUNDA L MCCOY (SOCIAL WORKER) in U.S. healthcare records?
The official identifier for SHUNDA L MCCOY (SOCIAL WORKER) is NPI 1144368192.
Is there an active status for SHUNDA L MCCOY (SOCIAL WORKER)?
For scheduling context, SHUNDA L MCCOY (SOCIAL WORKER) is shown as active in the registry.
What kind of doctor is SHUNDA L MCCOY (SOCIAL WORKER)?
SHUNDA L MCCOY (SOCIAL WORKER) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is SHUNDA L MCCOY (SOCIAL WORKER) located near Brighton?
SHUNDA L MCCOY (SOCIAL WORKER) currently maps to Brighton, Tennessee in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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