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KRISTIN BUSCO SHIPLEY
NPI 1134765647
Social Worker - Clinical in Crystal Lake, IL

Active since November 19, 2019
1026 SUGAR MAPLE DR, CRYSTAL LAKE, IL 60012(779) 333-8899 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2024, Nov 20, 2019 (2 updates tracked since 2019).

About Kristin Busco Shipley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN BUSCO SHIPLEY (NPI 1134765647) is an individual clinical provider in Crystal Lake, Illinois, licensed in Illinois (149.022015) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1134765647
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN BUSCO SHIPLEY
Location Address1026 SUGAR MAPLE DRCrystal Lake, IL 60012-3804
Mailing Address1026 Sugar Maple DrCrystal Lake, IL 60012-3804
Phone(779) 333-8899
Sole ProprietorYes
Enumeration DateNovember 19, 2019
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1134765647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.022015
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 150103103 (IL)
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 149.022015 (IL)
1026 SUGAR MAPLE DR, Crystal Lake, IL 60012
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Busco Shipley's NPI number?

The NPI number for Kristin Busco Shipley is 1134765647. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Kristin Busco Shipley located?

Kristin Busco Shipley practices at 1026 Sugar Maple Dr, Crystal Lake, IL 60012. The listed phone number is (779) 333-8899.

What is Kristin Busco Shipley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kristin Busco Shipley was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.