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Kim D Shippey, CSW

Clinical Social Worker · Santa Clara

NPI 1497817670

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
6
3 carriers
Office
1
Since medical school
35 years
Graduated 1991

Offices

1 location · Sud Specialty Group - CA · 519 clinicians in this group

Looking this up.

Plans that list them

6 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Kim D Shippey’s office at (866) 280-0260 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

6 of 6 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

California Medical Board record

Licence C17312 · Deceased

Licence status: Deceased · since 1955 · University of Iowa College of Medicine.

Licensee is deceased.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$89,547 in 2024

Medicaid paid $89,547 for 755 billed services this clinician did in 2024, up to 28 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive400$83,202
Psychotherapy, 45 minutes with patient332$6,006
PSYCHOTHERAPY W/PATIENT 30 MINUTES23$339
Medicaid work by year
2024755328$89,547
2023801231$93,992
2022189523$18,367
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive446$92,380
Psychotherapy, 45 minutes with patient355$1,612

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive88$18,367
PSYCH DIAGNOSTIC EVALUATION26$0
Psychotherapy, 45 minutes with patient23$0
Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument27$0
Annual alcohol misuse screening, 5 to 15 minutes25$0

Professional record

NPI
1497817670
Licence
CA 17312California C17312: Deceased
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 1041C0700X (1041C0700X)
Mailing address
401 Bicentennial Way, Adult Psychiatry, Santa Rosa, CA, 95403
NPI first listed
2006-12-14
NPI last updated
2022-01-03

This is when the NPI record was last certified, not a medical board exam.

This office lists an electronic records connection.