Organization Active NPI

Debbie Lipshutz MSS, LSW, PC

Doing business as Debbie Lipshutz LCSW

  • Clinical Social Worker
  • Bala Cynwyd, PA
National Provider Identifier
1447426242
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEBBIE LIPSHUTZ MSS, LSW, PC
Doing business as
Debbie Lipshutz LCSW
Practice address
1 Bala Avenue
Suite 110
Bala Cynwyd, PA 19004-3201
Phone
(215) 432-4339
Fax
(215) 754-4339
NPI assigned
May 1, 2008
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Debbie S Lipshutz, LCSWNPI 1568497089
Title
President
Phone
(215) 432-4339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

1 Bala Avenue
Suite 110
Bala Cynwyd, PA 19004-3201

Mailing address

6117 McCallum St
Philadelphia, PA 19144-2603
Phone (215) 432-4339

Other identifiers 1

IdentifierTypeStateIssuer
1568497089OtherPAINDIVIDUAL NPI (TYPE 1)

Other names 1

  • Debbie Lipshutz LCSW Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210628000043 PA Part B Supplier - Clinic/Group Practice 7618378795 Receives reassigned benefits from 1 practitioner
Practice locations: Bala Cynwyd, PA; Fort Washington, PA

National Provider Directory

National Provider Directory

Locations

7237 Hollywood Rd
Ste 2
Fort Washington, PA 19034
Phone (215) 432-4339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1447426242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 MCCALLUM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442603",
            "telephone_number": "215-432-4339",
            "fax_number": "215-754-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA AVENUE",
            "address_2": "SUITE 110",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043201",
            "telephone_number": "215-432-4339",
            "fax_number": "215-754-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE LIPSHUTZ MSS, LSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "LIPSHUTZ",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-432-4339",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI (TYPE 1)",
            "identifier": "1568497089",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Debbie Lipshutz LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.