Jaime E Lipka, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0001216 Issued in VT

Practice address

195 Industrial Pkwy Ste 1
Lyndonville, VT 05851-4511

Phone

(802) 748-9501

Fax

(802) 748-3420

NPI assigned

May 5, 2008

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Vermont Regional Hospital IncGroup PAC ID 3678481405, shared by 15 NPIs, 104 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeastern Vermont Regional Hospital Inc

  dba NVRH Kingdom Internal Medicine

  • Rural Health Clinic/Center
  • St Johnsbury, VT
  • NPI 1871870899
  Medicare reassignment NPD
• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Corner Medical

  • Primary Care Clinic/Center
  • Lyndonville, VT
  • NPI 1659459428
  Medicare reassignment NPD
• Northeastern Vermont Regional Hospital, Inc

  dba NVRH St. Johnsbury Pediatrics

  • Primary Care Clinic/Center
  • St Johnsbury, VT
  • NPI 1487732301
  Medicare reassignment NPD
• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Podiatry Clinic

  • Podiatrist
  • St Johnsbury, VT
  • NPI 1710631635
  NPD

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1578739140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058190905",
            "telephone_number": "802-748-9501",
            "fax_number": "802-748-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 INDUSTRIAL PKWY STE 1",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058514511",
            "telephone_number": "802-748-9501",
            "fax_number": "802-748-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Breezy Hill Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "St Johnsbury",
            "state": "VT",
            "postal_code": "058198882",
            "country_code": "US",
            "telephone_number": "802-748-7500",
            "fax_number": "802-748-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPKA",
        "first_name": "JAIME",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VT",
            "license": "089-0001216",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0001216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075319",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014894",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Nicole Lazzaro
• Deborah Lee, LADC
• Jennifer Legacy, PT
• Nathaniel Timothy Lesch-Huie, MSW ROSTERED
• Lincare Inc.
• Lyndonville Dental Group PLC
• Lyndonville Family Chiropractic, Inc.
• Lyndonville Pharmacy LLC
• Robert McDonald
• Lyndi Medico, RN

• Clinical Social Worker in Lyndonville, VT
• Providers in Lyndonville, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.

Verify at the official NPI Registry.