Kristin Busco Shipley, is a
Social Worker - Clinical based in Crystal Lake, Illinois. Kristin Busco Shipley is licensed to practice in Illinois (license number 149.022015) and her current practice location is
1026 Sugar Maple Dr, Crystal Lake, Illinois. She can be reached at her office (for appointments etc.) via phone at
(779) 333-8899.
NPI number for Kristin Busco Shipley is 1134765647 and her current mailing address is 1026 Sugar Maple Dr, Crystal Lake, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134765647.
Healthcare Provider's Profile
Full Name | Kristin Busco Shipley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1026 Sugar Maple Dr, Crystal Lake, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134765647
- Provider Enumeration Date: 11/19/2019
- Last Update Date: 12/16/2024
Medical Identifiers
Medical identifiers for Kristin Busco Shipley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134765647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 150103103 (Illinois) | Secondary |
1041S0200X | Social Worker - School | 149.022015 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.022015 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Busco Shipley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristin Busco Shipley, 1026 Sugar Maple Dr, Crystal Lake, IL 60012-3804 Ph: () - | Kristin Busco Shipley, 1026 Sugar Maple Dr, Crystal Lake, IL 60012-3804 Ph: (779) 333-8899 |
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