Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Rayvon Larnard Shipman, LMSW-CLINICAL

Individual provider Clinical Social Worker · NPI 1972941771

Mr. Rayvon Larnard Shipman, LMSW-CLINICAL is a Clinical Social Worker in Detroit, Michigan. Qualified in 2023, 3 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

11648 Whittier St
Detroit, MI 48224-1540
Phone: (586) 563-5801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801119287 (MI)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 6803086544 (MI)

Record details

NPI number1972941771
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW-CLINICAL
Sole proprietorNo
NPI enumeratedJune 13, 2013
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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