Individual provider Active NPI

Daniel B Lippmann, LCSW

  • Clinical Social Worker
  • Downers Grove, IL
National Provider Identifier
1447432034
Registry record updated Nov 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-003661 Issued in IL
Practice address
1000 Maple Ave
1St Floor
Downers Grove, IL 60515-4965
Phone
(630) 960-2887
Fax
(630) 548-1755
NPI assigned
Dec 5, 2007
Last updated
Nov 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2008

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 149-003661 IL Primary

Addresses

Primary practice location

1000 Maple Ave
1St Floor
Downers Grove, IL 60515-4965

Mailing address

1807 S Washington St
Suite 110
Naperville, IL 60565-2446
Phone (630) 355-7250

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-003661ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225497600000",
    "number": "1447432034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 S WASHINGTON ST",
            "address_2": "SUITE 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652446",
            "telephone_number": "630-355-7250",
            "fax_number": "630-548-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAPLE AVE",
            "address_2": "1ST FLOOR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154965",
            "telephone_number": "630-960-2887",
            "fax_number": "630-548-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPMANN",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-003661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; 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.