Individual provider Active NPI

Michelle Lee Lippitt, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1912696360
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11358601 Issued in NY
Practice address
57 W 57TH St Ste 1101
New York, NY 10019-2814
Phone
(646) 665-3390
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 11358601 NY Primary

Addresses

Primary practice location

57 W 57TH St Ste 1101
New York, NY 10019-2814

Mailing address

57 W 57TH St Ste 1101
New York, NY 10019-2814
Phone (646) 665-3390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250807001704 NY Practitioner - Clinical Social Worker 5092213272 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100437NYMDSocial Worker
11358601NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Therapeutic Support LCSW PC Multi-Specialty CurrentSince Jun 26, 2025 Accepting new patients
Well Behavioral Health LLC CurrentSince Apr 15, 2026 Accepting new patients

Locations

57 W 57th St
Ste 1004
New York, NY 10019
Phone (212) 765-5030

459 Columbus Ave
New York, NY 10024
Phone (212) 884-6282

57 W 57th St
Ste 1101
New York, NY 10019
Phone (800) 381-7340

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1912696360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192814",
            "telephone_number": "646-665-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192814",
            "telephone_number": "646-665-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPITT",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "11358601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.