Individual provider Active NPI

Erin Lipin, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1093014326
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149014521 Issued in IL
Practice address
1740 Ridge Ave Ste 101B
Evanston, IL 60201-5903
Phone
(312) 841-7491
NPI assigned
Mar 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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 149014521 IL Primary

Addresses

Primary practice location

1740 Ridge Ave Ste 101B
Evanston, IL 60201-5903

Mailing address

4546 N Troy St Apt 1
Chicago, IL 60625-4572
Phone (314) 341-3704

Other practice location 1

707 Lake Cook Rd Ste 105
Deerfield, IL 60015-4909
Phone (312) 841-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 19, 2021 through Jul 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1093014326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 N TROY ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254572",
            "telephone_number": "314-341-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE 101B",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015903",
            "telephone_number": "312-841-7491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Lake Cook Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600154909",
            "country_code": "US",
            "telephone_number": "312-841-7491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPIN",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.