Kim Shippey is a Clinical in Santa Rosa, California. Kim Shippey practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kim Shippey is 1497817670. The last update date is 2022-01-03.
Kim Shippey's current location address is 401 Bicentennial Way, Santa Rosa, California. You can contact this provider via phone number 7075714015. The mailing address for Kim Shippey is 401 Bicentennial Way, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Shippey |
|---|---|
| Address | 401 Bicentennial Way, Santa Rosa, California |
| Phone Number | 7075714015 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1497817670 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2022-01-03 |
Provider Mailing Address Detail
| Address | 401 Bicentennial Way |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954032149 |
| Phone Number | 7075714015 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 17312 |
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Definition: 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, certif |
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What is the unique identifier code issued to Kim Shippey by the Centers for Medicare & Medicaid Services?
The Kim Shippey has been assigned the NPI (National Provider Identifier) 1497817670. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kim Shippey's facilities are situated?
The facilities of Kim Shippey are physically located at the following address: 401 Bicentennial Way, Santa Rosa, CA, 954032149.
What is Kim Shippey's area of expertise and its corresponding taxonomy classification?
The Kim Shippey's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kim Shippey receive the assignment of its 1497817670 from the Centers for Medicare & Medicaid Services?
The Kim Shippey was issued its 1497817670 by the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the information related to Kim Shippey most recently updated or refreshed?
The details pertaining to the Kim Shippey, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-01-03.