Rayvon Larnard Shipman, LMSW - CLINICAL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801119287 Issued in MI

Practice address

11648 Whittier St
Detroit, MI 48224-1540

Phone

(586) 563-5801

NPI assigned

Jun 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• The Giuseppe House LLC

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1700694353
  Medicare reassignment NPD
• Healthy Heart Counseling Services

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1679370597
  NPD Authorized official

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1972941771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11648 WHITTIER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241540",
            "telephone_number": "586-563-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11648 WHITTIER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241540",
            "telephone_number": "586-563-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "RAYVON",
        "middle_name": "LARNARD",
        "name_prefix": "Mr.",
        "credential": "LMSW - CLINICAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119287",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6803086544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Shinn, LLMSW
• Shiny Rose Home Help Care Agency
• Melanie Shipley, LLMSW
• Nakeya Nichol Shipman
• Patricia Jeremy Shipman, NP
• Shirley Care Agency LLC
• Antonia Nicole Shirley, BSW
• Dyshinique Shirley
• Hazel Shively, LLMSW
• Jeffery Everett Shively

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.