Individual provider Active NPI

Kennedy Lynn Fipps, MSW, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1447093950
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020578 Issued in NC
Practice address
6120 Saint Giles St Ste 220
Raleigh, NC 27612-7046
Phone
(919) 275-0806
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 P020578 NC Primary

Addresses

Primary practice location

6120 Saint Giles St Ste 220
Raleigh, NC 27612-7046

Mailing address

5820 Waycross St
Raleigh, NC 27606-1216
Phone (252) 814-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P020578NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Grubbs, LCSW, Lcas, PLLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1447093950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 WAYCROSS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061216",
            "telephone_number": "252-814-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 SAINT GILES ST STE 220",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127046",
            "telephone_number": "919-275-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIPPS",
        "first_name": "KENNEDY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.