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Active NPI 1659404556 Individual Practitioner Male Practitioner

Michael Shock , LICSW

Social Worker - Clinical • Devils Lake, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Shock, LICSW is a certified Social Worker - Clinical practicing in Devils Lake, ND. With approximately 14 years of clinical experience since completing medical education in 2012, Michael Shock delivers high-quality medical care to the local community at 200 HIGHWAY 2 W.

Michael Shock is affiliated with Lake Region Human Service Center and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

200 Highway 2 W

Devils Lake, ND 583013532

Telephone 7016652200
Fax 7016652300
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Devils Lake, ND

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +4.6 yrs vs City Avg
City Avg: 9.4 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Devils Lake, ND (579 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shock (14 Years) 14 Yrs
Devils Lake Specialty Average (9.4 Years) 9.4 Yrs

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License ND 4694

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1456526 (ND)

Hospital & Practice Group Affiliations

Lake Region Human Service Center

200 Hwy 2 Sw, Devils Lake, ND 583013532

Lake Region Human Service Center

200 Hwy 2 W, Devils Lake, ND 583013532

Phone: 7016652200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Terry Clinkenbeard , DO

Psychiatry & Neurology - Psychiatry

NPI 1003850231

Doctor of Osteopathic Medicine (D.O.)

James Lang , LBSW, LPCC

Counselor - Professional

NPI 1023683323

LBSW, Licensed Professional Clinical Counselor

NPI 1033206495

Licensed Social Worker

Amber Mackey

Case Manager/Care Coordinator

NPI 1033501697
Tania Lyon

Case Manager/Care Coordinator

NPI 1033631296
Emily Larsen

Counselor - Mental Health

NPI 1043614050

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2017

Registered at 200 HIGHWAY 2 W, DEVILS LAKE, ND 583013532 (Tel: 7016652200)

📍
Updated Business Mailing Address October 27, 2017

Registered at PO BOX 650, DEVILS LAKE, ND 583010650 (Tel: 7016652200)

👤
Provider Name / Credentials Updated October 27, 2017

Recorded as MICHAEL SHOCK, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Social Worker (License #4694 in ND)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 200 HIGHWAY 2 W, DEVILS LAKE, ND 583013532 (Tel: 7016652200)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 650, DEVILS LAKE, ND 583010650 (Tel: 7016652200)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL SHOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration March 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659404556
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: October 27, 2017
Sole Proprietor: No

Mailing Address

Po Box 650

Devils Lake, ND 583010650

Phone: 7016652200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.