Kenneth L. Sipe, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW 100547 Issued in MA

Practice address

592A Washington St
Wellesley, MA 02482-6417

Phone

(781) 710-8873

Fax

(781) 237-6954

NPI assigned

Feb 19, 2007

Sex

Male

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

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407990641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WESTON RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024822346",
            "telephone_number": "781-710-8873",
            "fax_number": "781-237-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592A WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826417",
            "telephone_number": "781-710-8873",
            "fax_number": "781-237-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPE",
        "first_name": "KENNETH",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW 100547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven R Simon, M.D.
• Harriet F Simons, PH. D., LICSW
• Vicky Kwan Sin, RPH
• William Davis Singr, M.D.
• Lilith G. C. Sinha, PSYD, LICSW
• Amanda E Sitren, CCC-SLP
• Susan Sklover, PH.D.
• Sara Elizabeth Skonieczny, LICSW
• Jacob William Slater, PSY.D
• Pamela Maureen Slater, PH.D.

• Clinical Social Worker in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.