Individual provider Active NPI

Mara Jennifer Lipkovitz, LMSW,ACSW

  • Clinical Social Worker
  • Lathrup Village, MI
National Provider Identifier
1770809493
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801066938 Issued in MI
Practice address
18891 Bungalow Dr
Lathrup Village, MI 48076-3384
Phone
(800) 395-3223
NPI assigned
Apr 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 6801066938 MI Primary

Addresses

Primary practice location

18891 Bungalow Dr
Lathrup Village, MI 48076-3384

Mailing address

26545 American Dr
Southfield, MI 48034-6115
Phone (800) 395-3223

Other practice location 1

32961 Middlebelt Rd
Farmington Hills, MI 48334-1729
Phone (800) 395-3223

Other names 1

  • Mara Lipkowitz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140527000699 MI Practitioner - Clinical Social Worker 7012130750 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801066938MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail B. Sendi, MD, PC CurrentSince Sep 1, 2024 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Sep 1, 2024 Accepting new patients
Behavioral Care Management Group PC PastSince Nov 10, 2024 Accepting new patients

Locations

26522 Van Dyke Ave
Center Line, MI 48015
Phone (586) 759-4400

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

32961 Middlebelt Rd
Farmington Hills, MI 48334
Phone (248) 855-1540

26545 American Dr
Southfield, MI 48034
Phone (734) 669-3610

Organizations & group practices 3

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1770809493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26545 AMERICAN DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480346115",
            "telephone_number": "800-395-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18891 BUNGALOW DR",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763384",
            "telephone_number": "800-395-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32961 Middlebelt Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483341729",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPKOVITZ",
        "first_name": "MARA",
        "middle_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LMSW,ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "LIPKOWITZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lathrup Village, MI

Sources for this page

Verify at the official NPI Registry.