Provider Demographics
NPI:1154365948
Name:SHIPMAN, KARILYN ELAINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:KARILYN
Middle Name:ELAINE
Last Name:SHIPMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 TOWNSEND RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-9327
Mailing Address - Country:US
Mailing Address - Phone:828-685-7089
Mailing Address - Fax:
Practice Address - Street 1:320 TOWNSEND RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-9327
Practice Address - Country:US
Practice Address - Phone:828-685-7089
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0053421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical