M Susan Shipley is a Clinical in Bristol, Tennessee. M Susan Shipley practices all healthcare services and medical treatments related to Clinical. The NPI Number for M Susan Shipley is 1568494565. The last update date is 2007-07-08.
M Susan Shipley's current location address is Po Box 1814, Bristol, Tennessee. You can contact this provider via phone number 4239685050. The mailing address for M Susan Shipley is Po Box 1814, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | M Susan Shipley |
|---|---|
| Address | Po Box 1814, Bristol, Tennessee |
| Phone Number | 4239685050 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW, ACSW |
NPI Number Detail
| NPI Number | 1568494565 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1814 |
|---|---|
| City | Bristol |
| State | Tennessee (TN) |
| Post Code | 376211814 |
| Phone Number | 4239685050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1127 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3011513 | TN | BCBS NONPAR |
Post Comment/ Review Below
What is the unique provider identifier assigned to M Susan Shipley?
The M Susan Shipley has been issued the NPI (National Provider Identifier) 1568494565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of M Susan Shipley?
The M Susan Shipley is physically situated at Po Box 1814, in the city of Bristol, state of TN, with the postal code 376211814.
What is M Susan Shipley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for M Susan Shipley is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did M Susan Shipley receive its 1568494565 assignment?
The M Susan Shipley was assigned its 1568494565 on 2006-07-07, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to M Susan Shipley most recently updated or revised?
The details related to M Susan Shipley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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