Active NPI
Mary Lippin, LCSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1447513783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 025704-1
- Practice address
- 35 Orange Street
Apartment 3G
Brooklyn, NY 11201 - Phone
- (718) 483-5677
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 025704-1 | NY | Primary |
Addresses
Primary practice location
35 Orange Street
Apartment 3G
Brooklyn, NY 11201
Mailing address
35 Orange Street
Apartment 3G
Brooklyn, NY 11201
Phone (718) 483-5677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161024000868 | NY | Practitioner - Clinical Social Worker | 7618255852 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
60 Remsen St
Ofc 3
Brooklyn, NY 11201-3453
Phone (718) 483-5677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025704-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1447513783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 ORANGE STREET",
"address_2": "APARTMENT 3G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-483-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 ORANGE STREET",
"address_2": "APARTMENT 3G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-483-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPIN",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "025704-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.