Individual provider Active NPI

Rachel Lippin-Foster, LMSW

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1720651193
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109630-01 Issued in NY
Practice address
1 N Broadway Ste 704
White Plains, NY 10601-2320
Phone
(914) 809-5515
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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 109630-01 NY Primary

Addresses

Primary practice location

1 N Broadway Ste 704
White Plains, NY 10601-2320

Mailing address

782 W End Ave Apt 42
New York, NY 10025-5401
Phone (917) 922-9518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 7, 2024 through Dec 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
109630-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1720651193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 W END AVE APT 42",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255401",
            "telephone_number": "917-922-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N BROADWAY STE 704",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012320",
            "telephone_number": "914-809-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPIN-FOSTER",
        "first_name": "RACHEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "109630-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.