Individual provider Active NPI

Judie Lipner Klitenick

  • Clinical Social Worker
  • Key West, FL
National Provider Identifier
1649615428
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5452 Issued in FL
Practice address
1319 William St
Key West, FL 33040-4736
Phone
(305) 294-4263
Fax
(305) 292-9466
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2013

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 SW5452 FL Primary

Addresses

Primary practice location

1319 William St
Key West, FL 33040-4736

Mailing address

1319 William St
Key West, FL 33040-4736
Phone (305) 294-4263

Other names 1

  • Judie Lipner 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW5452FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1649615428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 WILLIAM ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404736",
            "telephone_number": "305-294-4263",
            "fax_number": "305-292-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 WILLIAM ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404736",
            "telephone_number": "305-294-4263",
            "fax_number": "305-292-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLITENICK",
        "first_name": "JUDIE",
        "middle_name": "LIPNER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDIE",
            "last_name": "LIPNER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.