Cory Melvin Shipp in Salt Lake City - Clinical
Cory Melvin Shipp - NPI 1609850221
Cory Melvin Shipp is a Clinical in Salt Lake City, Utah. Cory Melvin Shipp practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cory Melvin Shipp is 1609850221. The last update date is 2009-11-03.
Cory Melvin Shipp's current location address is 1141 E 3900 S, Salt Lake City, Utah. You can contact this provider via phone number 8012844990 and fax number 8012844991. The mailing address for Cory Melvin Shipp is 1141 E 3900 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cory Melvin Shipp |
|---|---|
| Address | 1141 E 3900 S, Salt Lake City, Utah |
| Phone Number | 8012844990 |
| Fax Number | 8012844991 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1609850221 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2009-11-03 |
Provider Mailing Address Detail
| Address | 1141 E 3900 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841241215 |
| Phone Number | 8012844990 |
| Fax Number | 8012844991 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4933215-3501 |
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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 |
|---|---|---|---|
| 493321535000001 | UT | BLUE CROSS |
Post Comment/ Review Below
What is the Cory Melvin Shipp's unique identification number?
The Cory Melvin Shipp has been assigned the NPI (National Provider Identifier) Number 1609850221 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Cory Melvin Shipp is geographically located?
The Cory Melvin Shipp is physically situated at the following location: 1141 E 3900 S, Salt Lake City, UT, 841241215.
What is Cory Melvin Shipp's area of expertise and its corresponding taxonomy classification?
The Cory Melvin Shipp's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Cory Melvin Shipp receive its 1609850221?
The Cory Melvin Shipp was issued its 1609850221 on 2005-12-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Cory Melvin Shipp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Cory Melvin Shipp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-11-03.