NPI Code Detail JSON Logo

1437687308 NPI number — ASHLIE AVERY SHIPES LCSW

NPI Number: 1437687308
Health Care Provider/Practitioner: ASHLIE AVERY SHIPES LCSW

Information about “1437687308” NPI (ASHLIE AVERY SHIPES LCSW) exists in 1437687308 in HTML format HTML  |  1437687308 in plain Text format TXT  |  1437687308 in PDF (Portable Document Format) PDF  |  1437687308 in an XML format XML  formats.

NPI Number : 1437687308 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437687308",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHIPES",
    "FirstName": "ASHLIE",
    "MiddleName": "AVERY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2970 COOKTOWN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BAINBRIDGE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "39817-7615",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "229-400-7906",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2970 COOKTOWN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAINBRIDGE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "39817-7615",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "229-400-7906",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/23/2017",
    "LastUpdateDate": "06/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "CSW006058",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.