Individual provider Active NPI

Maura Coyne Lipinski, LISW-S

  • Clinical Social Worker
  • Lyndhurst, OH
National Provider Identifier
1720428238
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0700323 Issued in OH
Practice address
1950 Richmond Rd
Lyndhurst, OH 44124-3719
Phone
(216) 448-8608
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 I.0700323 OH Primary

Addresses

Primary practice location

1950 Richmond Rd
Lyndhurst, OH 44124-3719

Mailing address

11490 Butternut Rd
Chardon, OH 44024-9370
Phone (440) 564-1399

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140307001010 OH Practitioner - Clinical Social Worker 2163652306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindfulness-CounselingGroup PAC ID 2264736180, 11 clinicians

Practice addresses (Care Compare)

3109 Mayfield Rd
Suite 204
Cleveland Heights, OH 44118-1726
Phone (440) 591-4366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0700323OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfulness-Counseling CurrentSince Dec 1, 2016 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 27, 2014 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

3109 Mayfield Rd
Ste 204
Cleveland Hts, OH 44118
Phone (440) 591-4366

14900 Detroit Ave
Ste 311
Lakewood, OH 44107
Phone (216) 245-7811

1950 Richmond Rd
Lyndhurst, OH 44124
Phone (216) 448-4325

8500 Station St
Ste 102
Mentor, OH 44060
Phone (216) 219-0374

13940 Cedar Rd
University Hts, OH 44118
Phone (216) 213-6738

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1720428238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11490 BUTTERNUT RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249370",
            "telephone_number": "440-564-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 RICHMOND RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243719",
            "telephone_number": "216-448-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPINSKI",
        "first_name": "MAURA",
        "middle_name": "COYNE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

Verify at the official NPI Registry.