MAKENZIE SHIPMAN (NPI# 1801290176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801290176 |
| Entity Type | Individual |
| Full Name | MAKENZIE SHIPMAN |
| Practice Address |
120 N Williams Industrial Dr Pittsfield IL 62363-1300 |
| Mailing Address |
700 Se Cross St Mount Sterling IL 62353-1561 |
| Practice Telephone | 2172854436 |
| Practice Fax Number | 2172852804 |
| Mailing Telephone | 2177733325 |
| Mailing Fax Number | 2177732425 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2015-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
120 N WILLIAMS INDUSTRIAL DR |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538569868 | Tiffany Henry | Counselor | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2014-08-22 |
| 1861048316 | Sarah Hicks | Counselor | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2019-08-12 |
| 1215451679 | Jessica Jackson | Licensed Practical Nurse | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2017-07-27 |
| 1346760782 | Shanna Tharp | Counselor | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2017-06-27 |
| 1366892945 | Christina Cunningham | Social Worker | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2016-06-15 |
| 1679937098 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2016-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083075394 | Kiana Pollacek | Social Worker | 61 Eagle St, Pittsfield, MA 01201-4714 | 2016-03-14 |
| 1578968350 | Stephanie Nesbitt | Social Worker | 141 North St, Pittsfield, MA 01201-5156 | 2014-10-23 |
| 1972911451 | Dominick Corbett | Social Worker | 369 West St, Pittsfield, MA 01201-5731 | 2014-07-28 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1043503204 | Sheri L Morrison | Social Worker | 9 Radcliffe Ave, Pittsfield, MA 01201-5439 | 2011-05-20 |
| 1649338906 | Ethel C Britell | Social Worker | 34 Depot St, Suite 201, Pittsfield, MA 01201 | 2006-12-05 |
| 1013551514 | Gillian Reid Gijanto | Social Worker | 877 South St, Pittsfield, MA 01201-8242 | 2019-10-29 |
| 1336799865 | Demitryia Sweener | Social Worker | 877 South St, Pittsfield, MA 01201-8242 | 2019-09-17 |
| 1053961581 | Karolina Kolodziej | Social Worker | 877 South St, Pittsfield, MA 01201-8242 | 2019-09-17 |
| 1811462492 | Majida Elizabeth Miller | Social Worker | 877 South St Ste 200, Pittsfield, MA 01201-8243 | 2018-10-10 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
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| 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.