Individual provider Active NPI

Joanne Dale Lipner

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1053459339
Registry record updated Dec 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103343MA Issued in MA
Practice address
45 Bartlett Crescent
Brookline, MA 02446-2220
Phone
(617) 566-3105
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103343MA MA Primary

Addresses

Primary practice location

45 Bartlett Crescent
Brookline, MA 02446-2220

Mailing address

45 Bartlett Crescent
Brookline, MA 02446-2220
Phone (617) 566-3105

Other identifiers 1

IdentifierTypeStateIssuer
P01326OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103343MAMAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356825600000",
    "number": "1053459339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BARTLETT CRESCENT",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462220",
            "telephone_number": "617-566-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BARTLETT CRESCENT",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462220",
            "telephone_number": "617-566-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPNER",
        "first_name": "JOANNE",
        "middle_name": "DALE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103343MA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P01326",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.