Julieann Ipsan, LCSW-C
Individual provider Active NPI Clinical Social Worker · Frederick, MD
NPI 1366057028 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1366057028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 09811 (MD)
- Practice address
- 97 Thomas Johnson Drive
Suite 202
Frederick, MD 21702 - Phone
- (301) 695-6455
- Fax
- (301) 695-6456
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09811 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09811 | MD | Yes |
Addresses
Primary practice location
97 Thomas Johnson Drive
Suite 202
Frederick, MD 21702
Mailing address
216 Thames Dr
Frederick, MD 21702-1151
Phone (202) 468-7817
Other practice location 1
216 Thames Dr
Frederick, MD 21702-1151
Phone (202) 468-7817
Other names
- Ms. Julieann Ipsan
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | FREDERICK |
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All providers in Frederick, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.