Individual provider Active NPI

Cathy G. Lipper, LCSW, DCSW

  • Clinical Social Worker
  • Franklin LKS, NJ
National Provider Identifier
1093321572
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
043060-R Issued in NY
Practice address
720 McCoy Rd Unit 502
Franklin LKS, NJ 07417-1250
Phone
(201) 690-6008
Fax
(201) 690-6007
NPI assigned
Sep 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 043060-R NY Primary

Addresses

Primary practice location

720 McCoy Rd Unit 502
Franklin LKS, NJ 07417-1250

Mailing address

720 McCoy Rd Unit 502
Franklin LKS, NJ 07417-1250
Phone (201) 690-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605000762 NY Practitioner - Clinical Social Worker 3678582327 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043060-RNYMDClinical Social Worker
000176CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Medical PC Clinical CurrentSince Nov 9, 2025 Accepting new patients
Canino LCSW Psychotherapy PC CurrentSince Oct 18, 2024 Accepting new patients

Locations

100 Church St
Fl 8
New York, NY 10007
Phone (646) 357-3609

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1093321572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MCCOY RD UNIT 502",
            "city": "FRANKLIN LKS",
            "state": "NJ",
            "postal_code": "074171250",
            "telephone_number": "201-690-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MCCOY RD UNIT 502",
            "city": "FRANKLIN LKS",
            "state": "NJ",
            "postal_code": "074171250",
            "telephone_number": "201-690-6008",
            "fax_number": "201-690-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPER",
        "first_name": "CATHY",
        "middle_name": "G.",
        "credential": "LCSW, DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "043060-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin LKS, NJ

Sources for this page

Verify at the official NPI Registry.