Nicole Robyn Lipka, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17649 Issued in MD

Practice address

19707 Executive Park Cir
Germantown, MD 20874-2639

Phone

(301) 250-9965

Fax

(240) 306-1104

NPI assigned

Apr 3, 2020

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

Electronic endpoints 5

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heuristic Therapeutic Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Germantown, MD
  • NPI 1710451174
  NPD

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1881223634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19707 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742639",
            "telephone_number": "301-250-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19707 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742639",
            "telephone_number": "301-250-9965",
            "fax_number": "240-306-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 S Summit Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772090",
            "country_code": "US",
            "telephone_number": "703-596-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPKA",
        "first_name": "NICOLE",
        "middle_name": "ROBYN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/reevolvellc-solutions-for-optimum-living-ashburn-va/10",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 S Summit Ave Ste 100",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208772090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/reevolvellc-solutions-for-optimum-living-ashburn-va/10",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 S Summit Ave Ste 100",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208772090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/reevolvellc-solutions-for-optimum-living-ashburn-va/10",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 S Summit Ave Ste 100",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208772090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/reevolvellc-solutions-for-optimum-living-ashburn-va/10",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 S Summit Ave Ste 100",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208772090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/reevolvellc-solutions-for-optimum-living-ashburn-va/10",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 S Summit Ave Ste 100",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208772090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann Li
• Peter Liashek Jr., D.D.S.
• Lighthouse Center for Therapy and Play, LLC
• Riley Lillard
• Kaleya Lindsey
• Elizabeth Lippa
• Little Leaves Behavior Therapies
• Leticia D Litzenberger
• Shao J Liu Epstein, LCSW-C
• Mun-Ting Liu, M.D.

• Clinical Social Worker in Germantown, MD
• Providers in Germantown, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.