Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cody Joseph Shea, LICSW

Individual provider Clinical Social Worker · NPI 1770367815

Cody Joseph Shea, LICSW is a Clinical Social Worker in Austin, Minnesota. Qualified in 2020, 6 years ago. Practices with Independent Management Services of Mn, Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

101 21st St SE Ste 1
Austin, MN 55912-4322
Phone: (507) 437-6389
Fax: (507) 437-0977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22487 (MN)

Record details

NPI number1770367815
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Independent Management Services Of Mn, Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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