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

Shannon Barbara Michelson

Individual provider Clinical Social Worker · NPI 1114051679

Shannon Barbara Michelson is a Clinical Social Worker in San Jose, California. Qualified in 1996, 30 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

5755 Cottle Rd
San Jose, CA 95123-3640
Phone: (408) 972-3419
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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 LCS21247 (CA)

Record details

NPI number1114051679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESJanuary 3, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Jose