Lesa Fritz Sipperly, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7805 Issued in NC

Practice address

135 Pondhaven Cir
Mooresville, NC 28117-8122

Phone

(704) 756-2646

Fax

(704) 662-8365

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Miracles Healing Centers Inc

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1962597732
  NPD

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1174828966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3782",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281173782",
            "telephone_number": "704-756-2646",
            "fax_number": "704-662-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PONDHAVEN CIR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178122",
            "telephone_number": "704-756-2646",
            "fax_number": "704-662-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPPERLY",
        "first_name": "LESA",
        "middle_name": "FRITZ",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "7805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Silva, PTA
• Amanda Lynn Simmonds, PHARM.D.
• Naomi Soroosh Simon, MD
• Shauna Cherise Simpson, MS, OTR/L
• Shaneka Sims
• Pragya Sitoula, PMHNP
• Stephanie Cate Sittler, M.D.
• Jakub Michal Skowronski, D.M.D.
• Jacob Slagle
• Richard Slater, CCC-SLP

• Clinical Social Worker in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.