Dana Leigh Ippolito, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05224900 Issued in NJ

Practice address

151 Route 10 Ste 106
Succasunna, NJ 07876-1452

Phone

(973) 214-1160

NPI assigned

Mar 13, 2007

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• White Owl Wellness LLC

  • Clinical Social Worker
  • Succasunna, NJ
  • NPI 1366086779
  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1659404275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KNOLLWOOD RD",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 ROUTE 10 STE 106",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761452",
            "telephone_number": "973-214-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "DANA LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05224900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hovliaras and Guarnieri PA
• Pamela A Hovliaras, DMD
• Howard G Lashen DMD and Greggory J Dilauri DDS, LLC
• Huntington Learning Center
• Rosalie Iafrate Silvestri, DDS
• J. Adams Psychotherapy (The Serene Soul Counseling Solutions LLC)
• Jessica Stankus LPC
• John P. Zincone, M.D. Professional Association
• John Zincone, M.D. LLC
• Christina John

• Clinical Social Worker in Succasunna, NJ
• Providers in Succasunna, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.