Individual provider Active NPI

Karen Stephanie Lippitt, LCSW

  • Clinical Social Worker
  • Beacon, NY
National Provider Identifier
1073983359
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088084 Issued in NY
Practice address
140 N Walnut St
Beacon, NY 12508-1531
Phone
(347) 645-2015
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 088084 NY Primary

Addresses

Primary practice location

140 N Walnut St
Beacon, NY 12508-1531

Mailing address

140 N Walnut St
Beacon, NY 12508-1531
Phone (347) 645-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 27, 2019 through Jun 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
088084NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1073983359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N WALNUT ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125081531",
            "telephone_number": "347-645-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N WALNUT ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125081531",
            "telephone_number": "347-645-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPITT",
        "first_name": "KAREN",
        "middle_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

Verify at the official NPI Registry.