Doctor Name: | MR. WARREN M. SHIPPEN |
NPI Number: | 1033252432 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W. |
License Number: | 1278 |
Business Practice Address: | 3708 Main St Belle Chasse, LA - 700373002 |
Business Phone Number: | 5043935624 |
Business Fax Number: | 5043935633 |
Mailing Address: | 3708 Main St, BELLE CHASSE |
State: | LA |
Postal Code: | 700373002 |
Phone Number: | 5043935624 |
Fax Number: | 5043935633 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |