Individual provider Active NPI

Marlyn Lipton, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1487835674
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1661-C Issued in AR
Practice address
1521 Merrill Drive
Suite D220
Little Rock, AR 72211-1821
Phone
(501) 660-6893
Fax
(501) 974-7798
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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 1661-C AR Primary

Addresses

Primary practice location

1521 Merrill Drive
Suite D220
Little Rock, AR 72211-1821

Mailing address

P.O. Box 251970
Little Rock, AR 72225-1970
Phone (501) 666-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000753 AR Practitioner - Clinical Social Worker 3375628126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Youth and Families IncGroup PAC ID 4486996279, 13 clinicians

Practice addresses (Care Compare)

5800 W 10TH St
Suite 101
Little Rock, AR 72204-1756
Phone (501) 666-8686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Arkansas Behavioral Healthcare System Inc CurrentSince Aug 31, 2020 Accepting new patients
Centers for Youth and Families, Inc. CurrentSince Nov 7, 2022 Accepting new patients
BHC Pinnacle Pointe Hospital PastSince Jul 28, 2019 Accepting new patients
BHC Pinnacle Pointe Hospital LLC PastSince Jul 28, 2019 Accepting new patients
Maxus Inc Past Accepting new patients
Maxus Inc. Past Accepting new patients

Locations

1521 Merrill Dr
Ste D220
Little Rock, AR 72211
Phone (501) 660-6893

5800 W 10th St
Ste 101
Little Rock, AR 72204
Phone (501) 660-6886

2500 Rike Dr
Pine Bluff, AR 71603
Phone (870) 534-1834

Organizations & group practices 6

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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1487835674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 251970",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251970",
            "telephone_number": "501-666-8686",
            "fax_number": "501-660-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 MERRILL DRIVE",
            "address_2": "SUITE D220",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111821",
            "telephone_number": "501-660-6893",
            "fax_number": "501-974-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTON",
        "first_name": "MARLYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1661-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.