Individual provider Active NPI

Melissa Lippman Kilbride, LCSW, LICSW, LCSW-C

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1528218070
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078577 Issued in DC
Practice address
64 New York Ave NE
4TH Floor
Washington, DC 20002-3320
Phone
(773) 263-0436
NPI assigned
Sep 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50078577 DC Primary
Clinical Social Worker 1041C0700X 149.012392 IL
Clinical Social Worker 1041C0700X 14350 MD
Clinical Social Worker 1041C0700X 0904006897 VA

Addresses

Primary practice location

64 New York Ave NE
4TH Floor
Washington, DC 20002-3320

Mailing address

1425 11TH St NW
Unit 204
Washington, DC 20001-3302
Phone (773) 263-0536

Other names 1

  • Melissa Beth Lippman Former name

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
LC50078577DCMDClinical Social Worker
149.012392ILMDClinical Social Worker
0904006897VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1528218070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 11TH ST NW",
            "address_2": "UNIT 204",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013302",
            "telephone_number": "773-263-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 NEW YORK AVE NE",
            "address_2": "4TH FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023320",
            "telephone_number": "773-263-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBRIDE",
        "first_name": "MELISSA",
        "middle_name": "LIPPMAN",
        "credential": "LCSW, LICSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078577",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012392",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14350",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LIPPMAN",
            "middle_name": "BETH",
            "credential": "LSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.