2026 NPPES data Clinical Social Worker NPI 1376782961 LICSW
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Jeff Shively, LICSW

Clinical Social Worker in Plymouth, Minnesota.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 274,526 in Clinical Social Worker, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.

What the federal data shows

Jeff Shively, LICSW is a Clinical Social Worker in Plymouth, Minnesota, listed in the federal CMS National Provider Identifier registry.

#2
Clinical Social Worker rank among Minnesota specialties

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

CMS NPPES provider registry desk

NPI 1376782961 · Clinical Social Worker

NPI-10 · ENUM-MID · TAX-MEGA · RX-NONE · BOOK-MID · PHOTO-ENUM

  • NPI-10 1376782961
  • ENUM-MID 2009
  • TAX-MEGA 275K Clinical Social
  • RX-NONE No Part D
  • BOOK-MID 5,991 in Minnesota
  • PHOTO-ENUM Theresa Lindberg · 2009

What does the federal data show about Jeff Shively, LICSW?

Quality data not reported

NPI registry status

Active

Issued 02/05/2009

NPI 1376782961

Primary specialty

Clinical Social Worker

High-volume

274,526 US NPIs in this specialty

Specialty distribution in Minnesota

How Clinical Social Worker compares to other specialties among Minnesota providers

Minnesota providers
Behavior Technician11.7%Clinical Social Worker4.7%Physical Therapist4.1%Pharmacist3.7%Student in an Organized Heal…3.4%Mental Health Counselor3.1%
Largest specialties in Minnesota (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Clinical Social Worker. Verify directly:

How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

12805 HIGHWAY 55
Plymouth, MN 55441

Provider Details

NPI 1376782961
Specialty Clinical Social Worker
Credentials LICSW
Gender Male
NPI Issued 02/05/2009

Clinical Social Worker Overview

How Jeff Shively, LICSW fits within the Clinical Social Worker landscape nationally.

274,526
Clinical Social Worker Providers in US
56
States with Clinical Social Worker
716
Avg Claims per Provider

Nationwide Clinical Social Worker peers with similar MIPS or enrollment year

Two federal-record peer sets for Shively, both outside Minnesota so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2009)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Clinical Social Worker Providers in Minnesota

Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Shively.

One of 5,991 Clinical Social Worker providers enrolled in Minnesota, 5 are shown here.

Compare Clinical Social Worker nationally: see state-by-state distribution →

Frequently Asked Questions

What is Jeff Shively, LICSW's specialty?
Jeff Shively, LICSW specializes in Clinical Social Worker and practices in Plymouth, Minnesota. Credentials: LICSW.
Where is Jeff Shively, LICSW located?
Jeff Shively, LICSW is located at 12805 HIGHWAY 55, Plymouth, MN, 55441. Phone: (612) 723-0408.
What is Jeff Shively, LICSW's NPI number?
Jeff Shively, LICSW's National Provider Identifier (NPI) is 1376782961, issued on 02/05/2009.
How many Clinical Social Worker providers are there in the US?
There are 274,526 Clinical Social Worker providers across 56 states in the US. The average Clinical Social Worker provider writes 716 Medicare Part D claims per year.
Does Jeff Shively, LICSW accept Medicare?
Jeff Shively, LICSW appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jeff Shively, LICSW's credentials?
Jeff Shively, LICSW's NPI is 1376782961 with credentials LICSW. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.