KATHARINE J SHIPLEY LCSW-R
NPI 1962788208
Social Worker - Clinical in Geneva, NY

Active since November 01, 2011Opted out of Medicare · through Apr 19, 2027
324 W NORTH ST STE 4, GENEVA, NY 14456(585) 613-1156 Get Directions Write a Review

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katharine J Shipley Lcsw-r NPPES

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

KATHARINE J SHIPLEY LCSW-R (NPI 1962788208) is an individual clinical provider in Geneva, New York, licensed in New York (074192) and active in the NPI registry since November 2011. She has opted out of Medicare through April 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962788208
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHARINE J SHIPLEYCredential: LCSW-R
Location Address324 W NORTH ST STE 4Geneva, NY 14456-1562
Mailing Address324 W North StGeneva, NY 14456-1562 · (585) 613-1156
Sole ProprietorYes
Enumeration DateNovember 1, 2011
Last NPPES UpdateOctober 5, 2025
NPPES CertifiedOctober 5, 2025
NPI 1962788208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 074192
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.

324 W NORTH ST STE 4, Geneva, NY 14456

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Katharine J Shipley Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 19, 2023 through April 19, 2027.

Opt-Out Effective DateApril 19, 2023
Opt-Out In Effect ThroughApril 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14456 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
324 W NORTH ST STE 4
GENEVA, NY 14456

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 Katharine Shipley's NPI number?

The NPI number for Katharine Shipley is 1962788208. It was assigned to this individual provider in the NPPES registry on November 1, 2011.

Where is Katharine Shipley located?

Katharine Shipley practices at 324 W North St Ste 4, Geneva, NY 14456. The listed phone number is (585) 613-1156.

What is Katharine Shipley's specialty?

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

Is Katharine Shipley enrolled in Medicare?

No. Katharine Shipley has opted out of Medicare through April 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Katharine Shipley was last updated on October 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.