Individual provider Active NPI

Susan Marlene Lipkin, LISW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1801978390
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-8521 Issued in OH
Practice address
24800 Highpoint Rd
Psychological and Behavioral Consultants
Beachwood, OH 44122
Phone
(216) 831-6611
Fax
(216) 831-2726
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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-8521 OH Primary

Addresses

Primary practice location

24800 Highpoint Rd
Psychological and Behavioral Consultants
Beachwood, OH 44122

Mailing address

3452 Lynnfield Rd
Shaker Heights, OH 44122-4835
Phone (216) 314-6220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-8521OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 5, 2024 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical PastSince Mar 1, 2000 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1801978390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 LYNNFIELD RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224835",
            "telephone_number": "216-314-6220",
            "fax_number": "216-831-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 HIGHPOINT RD",
            "address_2": "PSYCHOLOGICAL AND BEHAVIORAL CONSULTANTS",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-831-6611",
            "fax_number": "216-831-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPKIN",
        "first_name": "SUSAN",
        "middle_name": "MARLENE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-8521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.