Ellen Deann Shipp, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11525 Issued in LA

Practice address

1049 North Pine Rd
Suite D
Olla, LA 71465-4804

Phone

(318) 495-0758

Fax

(318) 495-0751

NPI assigned

Sep 1, 2016

Last updated

Aug 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ellen Deann Floyd Former name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lasalle Parish Hospital Service Dist No1Group PAC ID 6709781545, shared by 5 NPIs, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lasalle Parish Hospital Service Dist No1

  dba Hardtner Medical Center

  • Critical Access Hospital
  • Olla, LA
  • NPI 1639263189
  Medicare reassignment NPD
• Lasalle Parish Hospital Service District #1

  dba Hardtner Medical Center

  • Critical Access Hospital
  • Olla, LA
  • NPI 1184815466
  Medicare reassignment NPD
• Lasalle Parish Hospital Service District #1

  dba Hardtner Medical Clinic

  • Rural Health Clinic/Center
  • Olla, LA
  • NPI 1053415745
  NPD
• Lasalle Hospital Service Dist #1

  dba Hardtner Medical Center

  • Critical Access Hospital
  • Olla, LA
  • NPI 1871621821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1740737220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 NORTH PINE RD",
            "address_2": "SUITE D",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "714654804",
            "telephone_number": "318-495-0758",
            "fax_number": "318-495-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 NORTH PINE RD",
            "address_2": "SUITE D",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "714654804",
            "telephone_number": "318-495-0758",
            "fax_number": "318-495-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "ELLEN",
        "middle_name": "DEANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "FLOYD",
            "middle_name": "DEANN",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallory Morton, RDN, LDN
• Amanda Bruce Novak, WHNP
• Kayla Cloud Patten, LMFT
• Phillip C Rowden, M.D.
• Sahara Emergency Physicians, LLC
• Breanne Smith, RDN, LDN
• Smotherman Inc (R & K Drugs)
• Rickey Smotherman, RPH
• Allison Kendrick Stelly, NP
• Surgeoncare Physicians of Louisiana, LLC

• Clinical Social Worker in Olla, LA
• Providers in Olla, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.