Organization Active NPI

Debra M Lipson LCSW LLC

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1720264435
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEBRA M LIPSON LCSW LLC
Practice address
9096 NW 53Rd MNR
Coral Springs, FL 33067-4610
Phone
(745) 245-5166
NPI assigned
Jan 11, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Debra M Lipson LCSW LLC, LCSW
Title
Owner
Phone
(754) 245-5166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

9096 NW 53Rd MNR
Coral Springs, FL 33067-4610

Mailing address

9096 NW 53Rd MNR
Coral Springs, FL 33067-4610
Phone (745) 245-5166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080423000742 FL Part B Supplier - Clinic/Group Practice 9830277300 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1720264435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9096 NW 53RD MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674610",
            "telephone_number": "745-245-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9096 NW 53RD MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674610",
            "telephone_number": "745-245-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA M LIPSON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "LIPSON LCSW LLC",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-245-5166",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.