Individual provider Active NPI

Marilyn Reynolds Lipper, L.C.S.W.

  • Clinical Social Worker
  • Barnesville, GA
National Provider Identifier
1992884191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW002668 Issued in GA
Practice address
522 Greenwood St
Suite G
Barnesville, GA 30204-1554
Phone
(770) 789-2238
Fax
(770) 229-2015
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 CSW002668 GA Primary

Addresses

Primary practice location

522 Greenwood St
Suite G
Barnesville, GA 30204-1554

Mailing address

522 Greenwood St
Suite G
Barnesville, GA 30204-1554
Phone (770) 789-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Koplan,LCSW Clinical Past Accepting new patients

Organizations & group practices 1

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992884191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 GREENWOOD ST",
            "address_2": "SUITE G",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041554",
            "telephone_number": "770-789-2238",
            "fax_number": "770-229-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 GREENWOOD ST",
            "address_2": "SUITE G",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041554",
            "telephone_number": "770-789-2238",
            "fax_number": "770-229-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPER",
        "first_name": "MARILYN",
        "middle_name": "REYNOLDS",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, GA

Sources for this page

  • 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.