DAVID BLAKE SHIPP LMSW
NPI 1487367074
Social Worker in Vestal, NY

Q: What is David Shipp's NPI number?

The NPI number for David Shipp is 1487367074. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Q: What is David Shipp's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for David Shipp was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 29, 2022PECOS EnrolledAccepts Medicare Assignment

4417 VESTAL PKWY E, VESTAL, NY 13850(607) 797-1251(607) 729-4393 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, Dec 29, 2022 (2 updates tracked since 2022).

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About David Blake Shipp Lmsw NPPES

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

DAVID BLAKE SHIPP LMSW (NPI 1487367074) is an individual social worker in Vestal, New York, licensed in New York (115935) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1487367074

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameDAVID BLAKE SHIPPCredential: LMSW

Location Address4417 VESTAL PKWY EVestal, NY 13850-3556

Mailing Address33 Lewis Rd Fl 2Binghamton, NY 13905-1055 · (607) 770-0025

Phone(607) 797-1251

Fax(607) 729-4393

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 29, 2022

Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration

NPPES CertifiedMarch 16, 2026

✔ NPI 1487367074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 115935

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 102358 (NY)

4417 VESTAL PKWY E, Vestal, NY 13850

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Blake Shipp Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163907106

PECOS Enrollment IDI20260327002914

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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