Provider Demographics
NPI:1093738908
Name:SHIPMAN, FREDA BAILEY (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:FREDA
Middle Name:BAILEY
Last Name:SHIPMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
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Other - First Name:
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Mailing Address - Street 1:1101 VETERANS DRIVE
Mailing Address - Street 2:11E4-LD
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:40502-2235
Mailing Address - Country:US
Mailing Address - Phone:859-281-3916
Mailing Address - Fax:859-281-3967
Practice Address - Street 1:2250 LEESTOWN ROAD
Practice Address - Street 2:11E4-LD
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:40502-2235
Practice Address - Country:US
Practice Address - Phone:859-281-3916
Practice Address - Fax:859-281-3967
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCC0007652255R0406X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind