ZULLY SOLEDAD SHUPE (LCSW) – Clinical Social Worker, NPI 1417203589

ZULLY SOLEDAD SHUPE (LCSW) is a healthcare provider. based in Casper, Wyoming. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 327074-3501 (UT). The NPI Number for ZULLY SOLEDAD SHUPE (LCSW) is 1417203589

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
ZULLY SOLEDAD SHUPE (LCSW)
NPI
1417203589
Phone
(307) 237-9583
Address
1430 WILKINS CIR
Enumeration Date
26 July 2012
Last Update Date
4 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072379583
Graduation Year
1990 (36 years ago)
PAC ID
4880845551
Group Practice PAC ID
7416270939
Professional Enrollment ID
I20151222001697
Address ID
WY826011336CA1430XCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

227 CLINICAL SOCIAL WORKER in WY

Provider Addresses for ZULLY SOLEDAD SHUPE (LCSW)

  • 1430 WILKINS CIR

    CASPER, WY 826011336

    Phone: (307) 237-9583

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151222001697IClinical Social WorkerWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour13119$0
90834Psychotherapy, 45 minutes1911$0
View full utilization report →

Insurance plans in this area (ZIP 82601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416270939View full group profile
NameSpecialtyState
Mental Health CounselorWY
Clinical Social WorkerWY
P S Y C H I A T R YWY
Marriage And Family TherapistWY
Clinical Social WorkerWY
Clinical Social WorkerWY
Nurse PractitionerWY
Clinical Social WorkerWY
Nurse PractitionerWY
-KS

Reviews

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Frequently asked questions

Is there an official ID for ZULLY SOLEDAD SHUPE (LCSW) in U.S. healthcare records?
The official identifier for ZULLY SOLEDAD SHUPE (LCSW) is NPI 1417203589.
Is ZULLY SOLEDAD SHUPE (LCSW) shown as active in public data?
Registry records indicate ZULLY SOLEDAD SHUPE (LCSW) maintains an active NPI.
What clinical focus is listed for ZULLY SOLEDAD SHUPE (LCSW)?
At a glance, ZULLY SOLEDAD SHUPE (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ZULLY SOLEDAD SHUPE (LCSW)?
Travel planning: use Casper, Wyoming as the reference point for ZULLY SOLEDAD SHUPE (LCSW), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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