COURTNEY SHIPP


Address: 9211 Dale Lane Ct Apt 248, Fort Worth, TX 76108-2655
Phone: 9404522435

COURTNEY SHIPP (NPI# 1356965123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356965123
Entity Type Individual
Full Name COURTNEY SHIPP
Credential LCSW
Practice Address 9211 Dale Lane Ct Apt 248
Fort Worth
TX 76108-2655
Practice Telephone 9404522435
Mailing Telephone 9404522435
Enumeration Date 2020-06-08
Last Update Date 2020-10-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
58701 TX Behavioral Health & Social Service Providers

Office Location

Street Address 9211 DALE LANE CT APT 248
City FORT WORTH
State TX
Zip Code 76108-2655

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1760700017 North Texas Ems Ambulance 321 Mesa Grande Dr, Fort Worth, TX 76108 2010-05-12
1801036868 Gary Don Keel Physician Assistant #1 Lockheed Blvd., Lockheed Martin Aeronautics Company, Ft. Worth, TX 76108 2009-03-03
1942420211 Tina Mclendon Specialist/Technologist, Other 332 Memory Dr, Fort Worth, TX 76108 2007-04-27
1700901766 Jennifer E Gamez Nurse Practitioner 12001 S. Freeway Suite 205, Burleson, TX 76108 2007-03-20
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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NPI Name Taxonomy Address Enumeration
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1457974966 Roberta Christine Mcknight-dupas Social Worker 6908 Greenlee St, Fort Worth, TX 76112-5602 2020-05-19
1336777010 Renese Ann Super Social Worker 12333 Red Birch Ln, Fort Worth, TX 76244-4597 2020-03-30
1194358499 Karen Brooks Social Worker 8551 Boat Club Rd Ste 115, Fort Worth, TX 76179-3674 2020-02-15
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1417588369 Ann Keith Social Worker 225 Casa Blanca Ave, Fort Worth, TX 76107-7720 2020-01-29
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Competitor

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City FORT WORTH
Zip Code 76108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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