Individual provider · Type 1 NPI
Cory Melvin Shipp, LCSW
Clinical Social Worker · Salt Lake City, UT
Practice location
1141 East 3900 South, Suite A-170
Salt Lake City, UT 84124
Fax (801) 284-4991
Mailing address
1141 E 3900 S, Suite A-170
Salt Lake City, UT 84124-1215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 4933215-3501 (UT) |
Clinical Social Worker: 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 interpers…
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About NPI 1609850221
Cory Melvin Shipp, LCSW's National Provider Identifier is 1609850221, issued on Dec 6, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 3, 2009.