Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Blake Shipp, LMSW

Individual provider Clinical Social Worker · NPI 1487367074

David Blake Shipp, LMSW is a Clinical Social Worker in Vestal, New York. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone: (607) 797-1251
Fax: (607) 729-4393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 115935 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 102358 (NY)

Record details

NPI number1487367074
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedDecember 29, 2022
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address33 Lewis Rd Fl 2, Binghamton, NY 13905-1055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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