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

Michael Shock, LICSW

Individual provider Clinical Social Worker · NPI 1659404556

Michael Shock, LICSW is a Clinical Social Worker in Devils Lake, North Dakota. Qualified in 2012, 14 years ago. Practices with Lake Region Human Service Center, a 16-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
14
Licensed in
ND
In the registry since
2007
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

200 Highway 2 W
Devils Lake, ND 58301-3532
Phone: (701) 665-2200
Fax: (701) 665-2300
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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 4694 (ND)

Record details

NPI number1659404556
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESOctober 27, 2017
Mailing addressPo Box 650, Devils Lake, ND 58301-0650

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lake Region Human Service Center — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Devils Lake