National Provider Identifier
Michelle Leigh Shippos, LCSW
Michelle Leigh Shippos, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 862-6252.
Profile Overview
- NPI
- 1790356426
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 04, 2021
- Last Updated
- April 26, 2022
Practice Location
- 208 N Meadow St Unit 3
- Ithaca, NY 14850-4027
Phone: (607) 862-6252
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1790356426
- Entity Type
- Individual
- Last Name
- Shippos
- First Name
- Michelle
- Middle Name
- Leigh
- Name Prefix
- Mrs.
- Credential
- LCSW
- Provider Other Last Name
- Scott
- Provider Other First Name
- Michelle
- Provider Other Middle Name
- Leigh
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 208 N Meadow St Unit 3
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4027
- Mailing Country
- US
- Mailing Phone
- (607) 862-6252
- Mailing Fax
- (844) 333-0375
- Practice Street Address
- 208 N Meadow St Unit 3
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4027
- Practice Country
- US
- Practice Phone
- (607) 862-6252
- Enumeration Date
- July 04, 2021
- Last Updated
- April 26, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)