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

Individual provider Clinical Social Worker · NPI 1629501366

Micheal Shaughnessy, LICSW is a Clinical Social Worker in Brockton, Massachusetts. Qualified in 2014, 12 years ago. Practices with Healthfirst Family Care Center Inc, a 24-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2017
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

63 Main St
Brockton, MA 02301-4042
Phone: (508) 559-6699
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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 120340 (MA)

Record details

NPI number1629501366
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 10, 2017
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Healthfirst Family Care Center Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brockton