Marilyn H. Ippolito, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R018093-1 Issued in NY

Practice address

54 Montgomery PL
Brooklyn, NY 11215-2358

Phone

(347) 415-3619

NPI assigned

Apr 2, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Park Slope Center for Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1851382188
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760503601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEWKIRK AVE",
            "address_2": "APT 6D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267359",
            "telephone_number": "347-350-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MONTGOMERY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152358",
            "telephone_number": "347-415-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "MARILYN",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R018093-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUOPTIONS",
            "identifier": "571587",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0124339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milena Ippolito-Micek, MS, CCC-SLP
• Eleanor Ippolito
• Janine Marie Ippolito, PSYD
• John Ippolito, DDS
• Katherine Anna Ippolito, RD
• Arooj Iqbal, DO
• Faiza Iqbal
• Fiza Iqbal
• Mohammad Asif Iqbal, MD
• Mohammed Kasim Iqbal, DPT

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.