Michael Shock, LICSW | |
200 Highway 2 W, Devils Lake, ND 58301-3532 | |
(701) 665-2200 | |
(701) 665-2300 |
Full Name | Michael Shock |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 13 Years |
Location | 200 Highway 2 W, Devils Lake, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659404556 | NPI | - | NPPES |
1456526 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4694 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Region Human Service Center | 8426941436 | 5 |
Entity Name | Lake Region Human Service Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669411930 PECOS PAC ID: 8426941436 Enrollment ID: O20040204000457 |
Entity Name | Lifewise Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871088674 PECOS PAC ID: 2264784008 Enrollment ID: O20190625002236 |
Mailing Address | Practice Location Address |
---|---|
Michael Shock, LICSW Po Box 650, Devils Lake, ND 58301-0650 Ph: (701) 665-2200 | Michael Shock, LICSW 200 Highway 2 W, Devils Lake, ND 58301-3532 Ph: (701) 665-2200 |
Mrs. Brenna S Berge, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Highway 2 W Ste 10, Devils Lake, ND 58301 Phone: 701-662-1046 | |
Janet Dobler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 12th Ave Ne, Suite D, Devils Lake, ND 58301 Phone: 701-351-1934 Fax: 701-665-2668 | |
Mr. James Michael Cole, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 | |
Deborah L Hanson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 501 3rd St Ne Ste 1, Devils Lake, ND 58301 Phone: 701-662-1911 Fax: 701-662-4770 | |
Lisa Shuster, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 715 13th Ave Ne, Apt 307, Devils Lake, ND 58301 Phone: 701-330-9998 | |
Mr. Danny Whitehead, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 4th St Ne, Ste 4, Devils Lake, ND 58301 Phone: 701-662-8255 Fax: 701-662-1739 | |
Maria Wolf Burdick, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 210 Highway 2 W Ste 10, Devils Lake, ND 58301 Phone: 701-662-1046 |