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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTIN BUSCO SHIPLEY

Active Sole Proprietor

KRISTIN BUSCO SHIPLEY is a Clinical Social Worker healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1134765647 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CRYSTAL LAKE, IL

Registration Details

NPI Number
1134765647
Provider Type
Individual
Gender
Female
NPI Issued
Nov 19, 2019 (6.7162276893059 yrs)
Last Updated
Dec 16, 2024
Licenses
150103103 (IL)
149.022015 (IL)
149.022015 (IL)
Sole Proprietor
Yes

Practice Information

Address
1026 SUGAR MAPLE DR
CRYSTAL LAKE, IL, 600123804
Browse IL providers · Browse ZIP 60012
Phone
7793338899
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
School Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in CRYSTAL LAKE, IL

Name Credential NPI
MR. DONALD E JONES LCSW 1023095346
DAWN ELIZABETH SOPRON L.C.S.W. 1932133188
MR. MARK A MYERS LCSW 1245255710
MR. JOSEPH S. CANEVELLO LCSW 1831105469
MS. JANET N. MYERS LCSW 1043226624
MS. COLLEEN J. CAMPBELL LCSW 1124034665
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.